Abstract
Although the prognosis of pancreatic metastasis is reported dismal, pancreatic resection may achieve long-term survival in some cases. We report a resected case of pancreatic metastasis from carcinoma of the colon.
A 75-year-old woman who underwent sigmoidectomy for sigmoid colon cancer was found to have a tumor in the pancreatic tail by a follow-up abdominal CT scan performed five years after the operation. The tumor had rim enhancement on portal phase and delayed phase without invasive signs. MRCP showed no dilatation and disruption of the main pancreatic duct. Metastatic pancreatic tumor was likely. The patient underwent distal pancreatectomy and splenectomy. The pancreatic tumor was diagnosed as metastasis from the sigmoid colon cancer. Ten months later, chest CT scan showed multiple pulmonary metastases. As of 25 months after the pancreatectomy, she is alive while chemotherapy is being given. Resectable pancreatic metastasis from colon cancer is rare, but some long-term survival cases have been reported. If the patient is well tolerated to pancreatectomy and has no metastasis in the other organ, he or she should be considered as a good candidate for pancreatic resection.
