Umezaki Naoki, Hashimoto Daisuke, Nakagawa Shigeki, Yamao Takanobu, Tsukamoto Masayo, Kitano Yuki, Arima Kota, Yamamura Kensuke, Miyata Tatsunori, Okabe Hirohisa, Chikamoto Akira, Matsumura Fujio, Baba Hideo
Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Department of Gastroenterological Surgery, Omuta Tenryo Hospital, 1-100 Tenryo,, Omuta, 836-8566, Japan.
Surg Case Rep. 2018 Apr 10;4(1):31. doi: 10.1186/s40792-018-0443-2.
Gastrointestinal tract metastasis from pancreatic cancer is quite rare. We present the case of a 58-year-old male patient who underwent distal pancreatectomy for pancreatic body cancer 5 years prior. Four years after the initial operation, a 15-mm cystic submucosal tumor was found in the antrum of the stomach. Because the tumor had grown to 25 mm and the level of carcinoembryonic antigen in the cystic fluid derived by ultrasound-guided fine-needle aspiration biopsy was high, partial resection of the stomach was performed 5 years after the distal pancreatectomy. Pathological diagnosis was gastric metastasis of pancreatic cancer. The patient has been alive without recurrence for 13 months after the resection of the cystic tumor. We are not aware of any similar cases of cystic gastric metastasis from pancreatic cancer published in the English literature.
胰腺癌的胃肠道转移相当罕见。我们报告一例58岁男性患者，其5年前因胰体癌接受了远端胰腺切除术。初次手术后4年，在胃窦发现一个15毫米的囊性黏膜下肿瘤。由于肿瘤已生长至25毫米，且超声引导下细针穿刺活检获取的囊液中癌胚抗原水平较高，因此在远端胰腺切除术后5年进行了胃部分切除术。病理诊断为胰腺癌胃转移。切除囊性肿瘤后，患者已存活13个月且无复发。我们未在英文文献中发现任何类似的胰腺癌囊性胃转移病例。
