Abstract
We report three patients who underwent pancreaticoduodenectomy (PD) for pancreatic head cancer with associated resection for other primary neoplasm. Case 1 : A 51-year-old male who had jaundice was found to have a pancreatic head tumor 3 cm in diameter and a right renal tumor 6 cm in diameter. We performed PD and right nephrectomy simultaneously. The pancreatic cancer was in Stage IV b, and the renal cancer was in Stage II. Case 2 : A 72-year-old male complaining of jaundice had cancer of the panrcreas head and cancer of the gastric body. We performed PD with wide-ranged radical dissection. The pancreatic cancer was in Stage IV a and the stomach cancer in Stage I A. Case 3 : A 77-year-old male whose blood glucose level was remarkably high was found to have a pancreatic tumor 1.5cm in diameter which locally invaded the portal vein, and a right renal tumor 5.5cm in diameter. PD with associated resection of portal vein and right nephrectomy were performed simultaneously. The pancreatic cancer was in Stage IV a and the renal cancer in Stage III. Simultaneous operation, including PD and other organ excision, would not be so invasive for the patients with multiple primary neoplasms with pancreatic head cancer.
