Abstract
A 71-year-old woman was admitted to the hospital because of obstructive jaundice in June 1998. There were previous histories of undergoing a rihgt colectomy for ascending colon cancer on May 18, 1993 and an extended left lobectomy of the liver for hepatic metastasis on July 31 1997. After admission an abdominal CT showed a 2.5cm diameter solid tumor at the retropancreatic head region. We diagnosed the mass as retropancreatic lymph node involvement from metastatic lesion of the liver. We performed pancreatoduodenectomy because there was no evidence of other metastasis. The patient has no signs of recurrence one year after the operation. It is suggested that resection for the lymph nede involvement from hepatic metasitasis which is derived from colorectal cancer is beneficial to prolong the survival time, if no other metastic foci are present.
