Abstract
We report three cases of lung metastses from pancreatic cancer performed lung resection. The first case involved a 73-year-old woman. She underwent right wedge resection for three lung metastases 2 years 2 months after the surgical resection of pancreatic carcinoma, followed by left lower lung wedge resection and left lower lobectomy for lung metastases, 4 years 2 months and 5 years 9 months after the resection of pancreatic cancer, respectively. In the course of her treatment, she maintained on chemotherapy (gemcitabine : 57 courses). The patient has been alive without tumor relapse as of 7 years 8 months after the initial pancreatic resection. The second case involved a 76-year-old man. He underwent right wedge resection for three lung metastases 1 year 8 months after the surgical resection of pancreatic carcinoma, followed by left lower lung wedge resection for lung metastasis 2 years 1 month after the resection of pancreatic cancer. In the course of his treatment, he maintained on chemotherapy (gemcitabine : 32 courses). The patient has been alive without tumor relapse as of 2 years 11 months after the initial pancreatic resection. The third case involved a 71-year-old woman. She underwent bilateral wedge resections for three lung metastases (right : one, left : two) on a two-step approach 2 years after the surgical resection of pancreatic carcinoma. In the course of her treatment, she maintained on chemotherapy (gemcitabine : 48 courses). The patient has been alive without tumor relapse as of 3 years 2 months after the initial pancreatic resection. Aggressive pulmonary resection and the maintained chemotherapy may contribute to improvement of prognosis.
