title: [Long-Term Survival after Reoperation for Lung Metastasis of Resected Pancreatic Adenocarcinoma - A Case Report].
abstract: A 66-year-old woman with pancreatic cancer underwent resection of the pancreatic body and tail. Thirty-seven months after the initial surgery, a tumor was found in S4 of the right lung, for which resection of the middle lobe of the lung was performed. A diagnosis of lung metastasis originating from pancreatic cancer was confirmed based on histological and immunohistopathological assessments. Sixty-seven months after the initial surgery, despite the gemcitabine-based adjuvant chemotherapy, a tumor was detected in S3 of the left lung, for which partial lung resection was performed. Similar to the previous diagnosis, the tumor was diagnosed as lung metastasis of pancreatic cancer on the basis of the pathological findings. After the third operation, despite gemcitabine and S-1 chemotherapy, widespread pulmonary metastasis developed. One hundred and thirty months after the initial surgery, the patient died of respiratory failure due to carcinomatous pleurisy.
authors.affiliation: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
authors.forename: Hirosuke
authors.initials: H
authors.lastname: Ishikawa
authors.forename: Kabuto
authors.initials: K
authors.lastname: Takano
authors.forename: Takuya
authors.initials: T
authors.lastname: Ando
authors.forename: Daiki
authors.initials: D
authors.lastname: Soma
authors.forename: Kizuki
authors.initials: K
authors.lastname: Yuza
authors.forename: Yuki
authors.initials: Y
authors.lastname: Hirose
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Katada
authors.forename: Kohei
authors.initials: K
authors.lastname: Miura
authors.forename: Taku
authors.initials: T
authors.lastname: Ohashi
authors.forename: Kazuyasu
authors.initials: K
authors.lastname: Takizawa
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nagahashi
authors.forename: Jun
authors.initials: J
authors.lastname: Sakata
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kameyama
authors.forename: Takashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Wakai
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D011013:Pneumonectomy; D012086:Reoperation
chemical_list: D000970:Antineoplastic Agents