Abstract
The prognosis for pancreatic cancer is poor. We report a case which required surgical resection of a lung metastasis from pancreatic cancer. The patient was a 68-year-old man. He was diagnosed as having pancreatic cancer in 2002. A pancreaticduodenectomy was done ; radiation (20 Gy) and gemcitabine (1,000 mg) were also given. On histopathology, a moderately differentiated adenocarcinoma was diagnosed. After the resection, the patient had gemcitabine chemotherapy for 3 years. In 2010, a chest CT scan revealed an isolated nodule, 3 cm in diameter, in the right lower lobe (S8). A transbronchial lung biopsy was done ; immunostaining revealed that the lung tumor was a pancreatic cancer metastasis. Since the patient had no other metastasis, a right lower lobectomy was performed. After the operation, he was diagnosed as having bone and brain metastases. He died in March 2011. This case suggests that follow-up after pancreaticoduodenectomy is necessary so as to improve the patient's prognosis.
