title: Metachronous bilateral pulmonary metastases from cancer of the ampulla duodeni.
abstract: We present a 76-year-old man who underwent two lung resections for metastases originating from cancer of the Ampulla duodeni, 9 years-after pancreaticoduodenectomy with lymphadenectomy. Pancreaticoduodenectomy was performed in 2002; histological examination of the original tumor revealed a stage III tubular adenocarcinoma (pT3, N0, M0). Repetitive lung resection was performed in 2007 (left S8) and 2011 (right S1 and extirpation of a pericardial cyst). Although rarely performed, resection of bilateral pulmonary metastases from carcinoma of the papilla of Vater was done to improve the patient's chances for longterm survival.
authors.affiliation: Division of Surgery, Saiseikai Futsukaichi Hospital.
authors.forename: Motohisa
authors.initials: M
authors.lastname: Kuwahara
authors.forename: Hidenobu
authors.initials: H
authors.lastname: Ishii
authors.forename: Kazuya
authors.initials: K
authors.lastname: Naritomi
authors.forename: Masae
authors.initials: M
authors.lastname: Mano
authors.forename: Jun
authors.initials: J
authors.lastname: Yanagisawa
authors.forename: Takayuki
authors.initials: T
authors.lastname: Shirakusa
authors.forename: Akinori
authors.initials: A
authors.lastname: Iwasaki
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000368:Aged; D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D008297:Male; D016609:Neoplasms, Second Primary; D016577:Pancreaticoduodenectomy; D011013:Pneumonectomy; D014057:Tomography, X-Ray Computed