Sui Kenta, Niguma Takefumi, Yamada Motohiko, Kojima Toru, Mimura Tetsushige
Dept. of Surgery, Okayama Saiseikai General Hospital.
Gan To Kagaku Ryoho. 2014 Nov;41(12):2163-5.
Herein, we report the case of a patient who underwent resection of the remnant pancreas for pancreatic cancer following a distal pancreatectomy for invasive ductal carcinoma. An 81-year-old woman underwent a distal pancreatectomy. The tumor was found to be pancreatic cancer. The tumor was histologically diagnosed as a poorly differentiated tubular adenocarcinoma (Stage I). An abdominal computed tomography (CT) performed 17 months later revealed a 13 mm tumor in the remnant pancreatic head. A remnant pancreatectomy was performed. The histological diagnosis was a moderately differentiated tubular adenocarcinoma (StageIII). Remnant pancreatic cancer is rare following a pancreatectomy for invasive ductal carcinoma. The course of remnant pancreatic cancer can be followed with imaging. Long-term follow-up of patients who have undergone a pancreatectomyis, therefore, essential.
在此,我们报告一例患者,其因浸润性导管癌接受远端胰腺切除术后,又因胰腺癌接受了残余胰腺切除术。一名81岁女性接受了远端胰腺切除术。术中发现肿瘤为胰腺癌。肿瘤经组织学诊断为低分化管状腺癌(I期)。17个月后进行的腹部计算机断层扫描(CT)显示,残余胰头有一个13毫米的肿瘤。遂进行了残余胰腺切除术。组织学诊断为中分化管状腺癌(III期)。浸润性导管癌行胰腺切除术后发生残余胰腺癌的情况较为罕见。残余胰腺癌的病程可通过影像学进行追踪。因此,对接受过胰腺切除术的患者进行长期随访至关重要。