Matsumoto Tomohiro, Suzuki Daisuke, Aoki Yu, Furukawa Katsunori, Takayashiki Tsukasa, Kuboki Satoshi, Takano Shigetsugu, Sakai Nozomu, Kagawa Shingo, Hosokawa Isamu, Mishima Takashi, Konishi Takanori, Otsuka Masayuki
Dept. of General Surgery, Graduate School of Medicine, Chiba University.
Gan To Kagaku Ryoho. 2020 Dec;47(13):2227-2229.
A 48-year-old female visited former doctor with abdominal pain and bloating. She was suspected of having pancreatic tumor and referred to our hospital. Abdominal dynamic CT showed multilocular cystic tumor in the pancreatic tail, and chest CT showed multiple lung nodules. From these findings, the patient was diagnosed mucinous cystic carcinoma(MCC)with lung metastases. We performed distal pancreatectomy for the first and lung resection after pancreatectomy. After all, the pathological diagnosis was MCC and metastatic lung cancer from the MCC. The adjuvant chemotherapy was not performed. Eleven months after pancreatectomy and 6 months after lung resection, the patient is still alive without recurrence.
一名48岁女性因腹痛和腹胀就诊于前一位医生。她被怀疑患有胰腺肿瘤并转诊至我院。腹部动态CT显示胰腺尾部有多房囊性肿瘤，胸部CT显示多个肺结节。根据这些检查结果，患者被诊断为黏液性囊性癌（MCC）伴肺转移。我们首先进行了胰体尾切除术，术后又进行了肺切除术。最终，病理诊断为MCC及来自MCC的转移性肺癌。未进行辅助化疗。胰体尾切除术后11个月及肺切除术后6个月，患者仍存活且无复发。
