title: Pancreatic metastasis from gastric carcinoma: a case report.
abstract: BACKGROUND
  The pancreas is a rare but occasionally favored target for metastasis. Metastatic lesions in the pancreas have been described for various primary cancers, such as carcinomas of the lung, the breast, renal cell carcinoma and sarcomas.
  
  
  METHODS
  We report the case of a 60-year old female with a mass in the pancreatic head four years after partial gastrectomy for gastric adenocarcinoma. The patient underwent a pancreatoduodenectomy. Pathological examination revealed metastases of the primary gastric carcinoma within the pancreatic head and in regional lymph nodes.
  
  
  CONCLUSIONS
  Pancreatic tumors in patients with a history of non-pancreatic malignancy should always be considered to be a putative metastatic lesion at an unusual site. If the pancreas can be identified as the only site of spread, radical resection may prolong survival.
authors.affiliation: Department of General Surgery, University of Heidelberg, Heidelberg, Germany. moritz.wente@med.uni-heidelberg.de
authors.forename: Moritz N
authors.initials: MN
authors.lastname: Wente
authors.forename: Frank
authors.initials: F
authors.lastname: Bergmann
authors.forename: Boris E
authors.initials: BE
authors.lastname: Fröhlich
authors.forename: Peter
authors.initials: P
authors.lastname: Schirmacher
authors.forename: Markus W
authors.initials: MW
authors.lastname: Büchler
authors.forename: Helmut
authors.initials: H
authors.lastname: Friess