title: [Distal pancreatectomy for rectal metastatic adenocarcinoma 6 years after proctectomy].
abstract: We report the case of a 77 year old man treated with a distal pancreatectomy for rectal metastatic cancer. Diagnosis was made based on increased CEA levels following excision of the rectal tumor discovered during treatment follow up of liver and pulmonary metastases. Eight months after pancreatectomy the patient was asymptomatic and CEA levels were normal. Pancreatic resection for metastatic colonic adenocarcinoma of the pancreas may be considered in selected patients without extrapancreatic disease. Long-term survival or good palliation may be achieved after surgery.
authors.affiliation: Services des Maladies de l'Appareil digestif, Centre Hospitalier de Valenciennes, avenue Desandrouin, 59350 Valenciennes.
authors.forename: Hugues
authors.initials: H
authors.lastname: Coevoet
authors.forename: Didier
authors.initials: D
authors.lastname: Woelffle
authors.forename: Jean François
authors.initials: JF
authors.lastname: Quinton
authors.forename: Eric
authors.initials: E
authors.lastname: Hector
authors.forename: Xavier
authors.initials: X
authors.lastname: Bonnière
authors.forename: Arnaud
authors.initials: A
authors.lastname: Boruchowicz
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery*; D000368:Aged; D013505:Digestive System Surgical Procedures; D006801:Humans; D008297:Male; D016609:Neoplasms, Second Primary / Q000601:surgery*; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery*; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery*; D013997:Time Factors