title: [Resection of the remnant pancreas for recurrent pancreatic cancer after distal pancreatectomy-a case report].
abstract: The standard treatment for metastatic pancreatic cancer is chemotherapy. The effect of surgical resection for localized recurrence in the remnant pancreas after pancreatectomy for pancreatic cancer is unknown, but is reported to have a moderately good outcome in a few reports. We herein report a case of curative resection for recurrence in the remnant pancreas, 24 months after distal pancreatectomy for pancreatic cancer. A 71-year-old man was diagnosed with pancreas tail cancer. Neoadjuvant treatment with chemoradiotherapy[ weekly full-dose gemcitabine(GEM) and radiation therapy 50 Gy/25 Fr] was followed by distal pancreatectomy. Postoperative adjuvant therapy with hepatic arterial infusion of 5-FU and systemic GEM therapy was completed. Twenty-four months after surgery, follow-up computed tomography scan results showed a lesion of 15-mm diameter in the remnant pancreas. Resection of the remnant pancreas was performed. The pathological findings showed moderately differentiated adenocarcinoma, morphologically similar to the primary pancreatic cancer. Six months following surgery, there are no signs of recurrence at present.
authors.affiliation: Dept. of Surgery, Nara Medical University, Japan.
authors.forename: Shoichi
authors.initials: S
authors.lastname: Kinoshita
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sho
authors.forename: Takahiro
authors.initials: T
authors.lastname: Akahori
authors.forename: Takeo
authors.initials: T
authors.lastname: Nomi
authors.forename: Ichiro
authors.initials: I
authors.lastname: Yamato
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hokutoh
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yasuda
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Nakajima
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D008297:Male; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000188:drug therapy / Q000601:surgery*; D000093542:Gemcitabine
chemical_list: D003841:Deoxycytidine; D005472:Fluorouracil; D000093542:Gemcitabine