Yamamoto Tatsuhito, Tokunou Kazuhisa, Yamamoto Hisato, Kamei Ryoji, Kitamura Yoshinori, Ando Seiichirou
Dept. of Digestive Surgery, Tsushimi Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):1982-1984.
We report a case of remnant pancreatic cancer after pancreatoduodenectomy that was successfully treated using chemotherapy and carbon-ion radiotherapy. A 68-year-old woman received SSPPD for pancreatic head cancer. Gemcitabine(GEM) was administered for a year as postoperative chemotherapy. One year 8 months after surgery, abdominal CT showed a 20 mm solid mass in the stump of the remnant pancreas and dilation of the distal pancreatic duct. FDG-PET revealed a solitary tumor without any recurrence. We diagnosed the patient with a solitary recurrence of pancreatic cancer. Chemotherapy (GEM)and carbon-ion radiotherapy were performed. After treatment, the lesion was not detected on CT or FDG-PET. Chemotherapy(GEM)and carbon-ion radiotherapy for locally advanced pancreatic cancer seems to be effective and there might result in a survival benefit.
我们报告了一例胰十二指肠切除术后残留胰腺癌病例，该病例通过化疗和碳离子放疗成功治愈。一名68岁女性因胰头癌接受了标准胰十二指肠切除术（SSPPD）。术后化疗给予吉西他滨（GEM）一年。术后1年8个月，腹部CT显示残留胰腺残端有一个20毫米的实性肿块，远端胰管扩张。氟代脱氧葡萄糖正电子发射断层扫描（FDG-PET）显示为孤立性肿瘤，无任何复发迹象。我们诊断该患者为胰腺癌孤立性复发。进行了化疗（GEM）和碳离子放疗。治疗后，CT或FDG-PET未检测到病变。化疗（GEM）和碳离子放疗对于局部晚期胰腺癌似乎有效，可能会带来生存益处。
