Watanabe Takuo, Morinaga Soichiro, Numata Masakatsu, Mikayama Yo, Tamura Shuzo, Tamagawa Hiroshi, Yamamoto Naoto, Shiozawa Manabu, Ohkawa Shinichi, Kameda Yoichi, Akaike Makoto, Masuda Munetaka
Dept. of Hepatobiliary and Pancreatic Surgery, Kanagawa Cancer Center.
Gan To Kagaku Ryoho. 2011 Nov;38(12):2068-70.
We report 3 cases of resectable pancreatic metastasis. CASE 1: A 76-year-old woman was followed after nephrectomy for renal cell carcinoma for 13 years. CT examination demonstrated a high vascular lesion in the pancreatic body and tail. We conducted distal pancreatectomy and diagnosed with metastatic tumor from renal cell carcinoma. She died of liver metastasis 8 years after pancreatic resection. CASE 2: A 64-year-old man, who had undergone right lower lobectomy for lung cancer a year ago, was found to have a mass in the pancreatic tail. We performed distal pancreatectomy and diagnosed with metastatic tumor from lung cancer. He died of lung metastasis 12 months after pancreatic resection. CASE 3: A 62- year-old woman, who had undergone left nephrectomy for renal cell carcinoma 3 years ago, was found to have a mass in the pancreatic body. With a diagnosis of metastatic pancreatic tumor from renal cell carcinoma, distal pancreatectomy was done. She died of liver and lung metastases 15 months after pancreatic resection. Long-term survival can be achieved in patients undergoing a pancreatic standard resection including lymphadenectomy for isolated metastasis from nonpancreatic sites.
我们报告3例可切除的胰腺转移瘤病例。病例1：一名76岁女性，肾细胞癌肾切除术后随访13年。CT检查显示胰体尾部有一个高血管性病变。我们进行了远端胰腺切除术，诊断为肾细胞癌转移瘤。胰腺切除术后8年，她死于肝转移。病例2：一名64岁男性，一年前因肺癌接受了右下肺叶切除术，发现胰尾有一个肿块。我们进行了远端胰腺切除术，诊断为肺癌转移瘤。胰腺切除术后12个月，他死于肺转移。病例3：一名62岁女性，3年前因肾细胞癌接受了左肾切除术，发现胰体有一个肿块。诊断为肾细胞癌转移至胰腺，进行了远端胰腺切除术。胰腺切除术后15个月，她死于肝和肺转移。对于因非胰腺部位孤立转移而接受包括淋巴结清扫在内的胰腺标准切除术的患者，可实现长期生存。
