[Pancreatic resection for metastatic tumors to the pancreas].
We report 3 cases of resectable pancreatic metastasis. CASE 1: A 76-year-old woman was followed after nephrectomy for renal cell carcinoma for 13 years. CT examination demonstrated a high vascular lesion in the pancreatic body and tail. We conducted distal pancreatectomy and diagnosed with metastatic tumor from renal cell carcinoma. She died of liver metastasis 8 years after pancreatic resection. CASE 2: A 64-year-old man, who had undergone right lower lobectomy for lung cancer a year ago, was found to have a mass in the pancreatic tail. We performed distal pancreatectomy and diagnosed with metastatic tumor from lung cancer. He died of lung metastasis 12 months after pancreatic resection. CASE 3: A 62- year-old woman, who had undergone left nephrectomy for renal cell carcinoma 3 years ago, was found to have a mass in the pancreatic body. With a diagnosis of metastatic pancreatic tumor from renal cell carcinoma, distal pancreatectomy was done. She died of liver and lung metastases 15 months after pancreatic resection. Long-term survival can be achieved in patients undergoing a pancreatic standard resection including lymphadenectomy for isolated metastasis from nonpancreatic sites.
Dept. of Hepatobiliary and Pancreatic Surgery, Kanagawa Cancer Center.
Takuo
T
Watanabe
Soichiro
S
Morinaga
Masakatsu
M
Numata
Yo
Y
Mikayama
Shuzo
S
Tamura
Hiroshi
H
Tamagawa
Naoto
N
Yamamoto
Manabu
M
Shiozawa
Shinichi
S
Ohkawa
Yoichi
Y
Kameda
Makoto
M
Akaike
Munetaka
M
Masuda
D000368:Aged; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000556:secondary / Q000601:surgery*; D014057:Tomography, X-Ray Computed