Goto Taichiro, Urakami Hidejiro, Akanabe Kumi, Maeshima Arafumi, Kato Ryoichi
Department of General Thoracic Surgery, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2011;17(4):404-7. doi: 10.5761/atcs.cr.10.01611.
Pulmonary metastasis from carcinoma of the papilla of Vater is considered to be a late event, and patients can be treated with radiotherapy, chemotherapy, or palliative surgery. However, surgical treatment of an isolated lung metastasis has not been reported. We present a surgical case of solitary pulmonary metastasis from carcinoma of the papilla of Vater. A 51-year-old man underwent pylorus-preserving pancreaticoduodenectomy for Vater carcinoma. During follow-up, chest computed tomography revealed a nodular shadow in the right lung. The pathological examination demonstrated the appearance of the pulmonary tumor resembled that of the previously resected Vater carcinoma, and both tumors showed similar immunostaining properties, leading to the pathological diagnosis of pulmonary metastasis from carcinoma of the papilla of Vater. Isolated pulmonary metastasis from carcinoma of the papilla of Vater is extremely rare, but surgery could be the treatment of choice.
来自 Vater 乳头癌的肺转移被认为是晚期事件，患者可接受放疗、化疗或姑息性手术治疗。然而，孤立性肺转移的手术治疗尚未见报道。我们报告一例 Vater 乳头癌孤立性肺转移的手术病例。一名 51 岁男性因 Vater 癌接受了保留幽门的胰十二指肠切除术。随访期间，胸部计算机断层扫描显示右肺有一个结节状阴影。病理检查显示肺肿瘤的外观与先前切除的 Vater 癌相似，且两种肿瘤显示出相似的免疫染色特性，从而得出 Vater 乳头癌肺转移的病理诊断。Vater 乳头癌孤立性肺转移极为罕见，但手术可能是首选治疗方法。
