Abstract
We report a case of two resections for liver metastasis and pancreatic metastasis 5years after colectomy. A 74-year-old man underwent sigmoidectomy for carcinoma of the sigmoid colon in October 1966, followed by adjuvant chemotherapy, partial lobectomy, and cholecystectomy for hepatic metastasis (S4) in September 1997, and partial lobectomy for hepatic metastasis (S6) in November 1998, again followed by adjuvant chemotherapy. After jaundice appeared in November 2000, the lower bile duct suffered a 1.5cm stricture, and bile cytology became Class V, he underwent pancreatoduodenectomy under a diagnosis of lower cancer of the bile duct. A tumor about 25mm in diameter was observed in the pancreas had invaded the submucosal layer of the bile duct. Metastatic lymph nodes the size of a finger tip were finger was present in the infrapylorus and around the abdominal aorta. The histological diagnosis was well to moderately differentiated carcinoma, compatible with a colon cancer metastasis.
