A Long-Term Survival Case of Hepatic Metastasis from Cancer of the Papilla of Vater Treated with Hepatectomy after Arterial Chemotherapy

Abstract

A case of hepatic metastasis from cancer of the papilla of Vater carcinoma in which hepatectomy was performed after arterial chemotherapy is reported. A 77-year-old man underwent pylorus-preserving pancreatoduodenectomy in March 1997. The histopathological diagnosis was well differentiated adenocarcinoma with direct infiltration of the pancreas and duodenum. A hepatic metastasis was detected on a follow up CT scan in February 2000, 3 years after the primary operation. We treated the patient by partial resection of the liver after arterial chemotherapy with 5-FU and CDDP, and he is alive without recurrence about 5 years after hepatectomy.