Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of lung metastasis occurring 6 years after pancreaticoduodenectomy for pancreas cancer
Shin EMOTOHirofumi KAMACHIMunenori TAHARAToshiya KAMIYAMAMichiaki MATSUSHITASatoru TODO
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2010 Volume 71 Issue 4 Pages 1034-1038

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Abstract
Only 13.0% of patients with pancreatic cancer who have had a radical resection are expected to have a 5-year-survival. We report a case in which lung metastasis occurred 6 years after pancreaticoduodenectomy and had a curative resection of the lesion. The patient was a 79-year-old woman who developed abdominal discomfort and was diagnosed as having pancreatic cancer in 2002.
A pancreaticoduodenectomy was done. After the resection, she had chemotherapy with gemcitabine and UFT. In 2008, a lung tumor was detected on follow-up CT. A transbronchial lung biopsy was done, and a lung metastasis of pancreas cancer was diagnosed. Since she had no other metastasis, video-assisted lung surgery was performed to remove the tumor ; In the 1 year of follow-up since the lung metastasis resection the patient has had no other recurrences. If lung metastasis of pancreas cancer is found, and there is no other metastasis, tumor removal is indicated.
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© 2010 Japan Surgical Association
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