A Case of Successful Management of Liver Metastasis from a Pancreatic Carcinoma by Combined Hepatectomy and Chemotherapy

Abstract

We encountered a patient with liver metastasis from a pancreatic ductal adenocarcinoma, who was successfully treated by hepatectomy and chemotherapy. A 68-year-old female was treated by distal pancreatectomy for pancreatic ductal adenocarcinoma. After the surgery, she was given gemcitabine treatment for six months. Abdominal CT revealed a hepatic metastatic lesion 14 months after the surgery. Therefore, chemotherapy with S-1 as the second line therapy was started. Abdominal CT showed an increase of the tumor diameter, therefore, hepatectomy was performed for the liver metastases from the pancreatic ductal adenocarcinoma 28 months after the primary surgery. She has survived without any recurrence for more than 37 months since the hepatectomy.