Abstract
A-59-year-old man found to have a pancreatic tumor on CT underwent distal pancreatectomy (DP) in May, 2003. The pathologic diagnosis was T2N1M0 StageIII. After the operation, chemotherapy with Fluorouracil from the hepatic artery and the portal vein was dministered. In May 2006, his CA19-9 level was increased. Although CT and MRI revealed no lesions, PET-CT only showed a pancreatic head tumor indicating recurrent pancreatic cancer. We performed a total pancreatectomy and the pathologic diagnosis was T4N1M0 StageIVa. In January, 2008, metastases to mediastinal lymph nodes and the lung were seen on CT. Therefore, systemic chemotherapy (TS-1) and radiotherapy were administered. In August, 2008, metastasis appeared in Douglus' pouch on CT performed to identify the cause of constipation. He thus underwent radiotherapy in September, and chemotherapy (TS-1/GEM). In January, 2009, he died. We report this patient who survived nearly 5 years and 7 months after DP, and 2 years and 11 months after total pancreatectomy.
