title: Solitary pulmonary metastasis from carcinoma of the papilla of vater.
abstract: Pulmonary metastasis from carcinoma of the papilla of Vater is considered to be a late event, and patients can be treated with radiotherapy, chemotherapy, or palliative surgery. However, surgical treatment of an isolated lung metastasis has not been reported. We present a surgical case of solitary pulmonary metastasis from carcinoma of the papilla of Vater. A 51-year-old man underwent pylorus-preserving pancreaticoduodenectomy for Vater carcinoma. During follow-up, chest computed tomography revealed a nodular shadow in the right lung. The pathological examination demonstrated the appearance of the pulmonary tumor resembled that of the previously resected Vater carcinoma, and both tumors showed similar immunostaining properties, leading to the pathological diagnosis of pulmonary metastasis from carcinoma of the papilla of Vater. Isolated pulmonary metastasis from carcinoma of the papilla of Vater is extremely rare, but surgery could be the treatment of choice.
authors: Department of General Thoracic Surgery, National Hospital Organization Tokyo Medical Center, Tokyo, Japan. taichiro@1997.jukuin.keio.ac.jp
authors: Taichiro
authors: T
authors: Goto
authors: Hidejiro
authors: H
authors: Urakami
authors: Kumi
authors: K
authors: Akanabe
authors: Arafumi
authors: A
authors: Maeshima
authors: Ryoichi
authors: R
authors: Kato
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D014670:Ampulla of Vater / Q000473:pathology* / Q000601:surgery; D001706:Biopsy; D003138:Common Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D011013:Pneumonectomy; D003074:Solitary Pulmonary Nodule / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome