Moriya Toshiyuki, Kimura Wataru, Hirai Ichiro, Mizutani Masaomi, Yamamoto Takashi, Toya Ryo, Kamiga Masahiro, Fuse Akira
Gastroenterology and General Surgery, Yamagata University School of Medicine, Yamagata, Japan.
Hepatogastroenterology. 2007 Sep;54(78):1652-4.
We present a 60-year-old woman who underwent three times hepatectomy and lung resection for metastasis originating from a carcinoma of the papilla of Vater after pancreaticoduodenectomy with lymphadenectomy during 12 years. Pancreaticoduodenectomy was performed in 1980 and histological examination of original tumor revealed a stage IIA papillary adenocarcinoma (pT3, pN0, pM0). Repetitive hepatectomy underwent in 1986 (S7,8), 1988 (S2), 1991 (S4) and bilateral partial resection of lung (right S1, left S2.3) in 1990. She died from multiple skin, bone and lung metastases 12 years after pancreaticoduodenectomy. The current case is very rare, however, if patients with carcinoma of the papilla of Vater have localized liver metastases and no local recurrence, liver metastases should be resected to improve the chances for long-term survival.
我们报告一名60岁女性，在12年间接受了三次肝切除术和肺切除术，以治疗源自 Vater 乳头癌的转移灶，该患者在胰十二指肠切除术加淋巴结清扫术后出现转移。1980年进行了胰十二指肠切除术，原发肿瘤的组织学检查显示为IIA期乳头状腺癌（pT3，pN0，pM0）。1986年（S7、8段）、1988年（S2段）、1991年（S4段）进行了重复肝切除术，199年进行了双侧肺部分切除术（右S1段，左S2、3段）。她在胰十二指肠切除术后12年死于多发皮肤、骨和肺转移。目前的病例非常罕见，然而，如果 Vater 乳头癌患者出现局限性肝转移且无局部复发，应切除肝转移灶以提高长期生存的机会。
