title: [A Case of Locally Advanced Pancreatic Cancer Showing R0 Resection after Resection of the Portal Vein Following Preoperative Chemoradiotherapy].
abstract: We report a case of pancreatic cancer showing R0 resection after resection of the portal vein(PV)following preoperative chemoradiotherapy. A 71-year-old woman was admitted to our hospital with back pain. We diagnosed the patient with pancreatic cancer using computed tomography scan and fine-needle aspiration biopsy. Because the tumor directly invaded the PV, we diagnosed it as a borderline resectable locally advanced pancreatic cancer. Radiation therapy(40 Gy/20 Fr)was administered with S-1 monotherapy(120 mg/body/day on days 1-5 and days 8-12). After the treatment, the main tumor was stable without distant metastasis. Therefore, we performed pancreaticoduodenectomy with resection of the PV. Pathological examination confirmed negative margin status. The patient was healthy and showed no sign of recurrence eight months after surgery.
authors.affiliation: Dept. of Surgery, Hiroshima City Hiroshima Citizens Hospital.
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Nakano
authors.forename: Daisuke
authors.initials: D
authors.lastname: Satoh
authors.forename: Noriaki
authors.initials: N
authors.lastname: Tokumoto
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Chouda
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanazawa
authors.forename: Shinichi
authors.initials: S
authors.lastname: Takada
authors.forename: Masao
authors.initials: M
authors.lastname: Harano
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Matsukawa
authors.forename: Yasutomo
authors.initials: Y
authors.lastname: Ojima
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Idani
authors.forename: Shigehiro
authors.initials: S
authors.lastname: Shiozaki
authors.forename: Masazumi
authors.initials: M
authors.lastname: Okajima
authors.forename: Motoki
authors.initials: M
authors.lastname: Ninomiya
mesh_terms: D000368:Aged; D059248:Chemoradiotherapy; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000628:therapy*; D016577:Pancreaticoduodenectomy; D011169:Portal Vein / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome