Kashimoto Kingo, Koike Hiroshi, Ito Kazuhiro, Itokawa Yoshiki, Nakata Masashi
Dept. of Surgery, Kyoto Yamashiro General Medical Center.
Gan To Kagaku Ryoho. 2022 Mar;49(3):315-317.
The patient was a 71-year-old man with the pancreatic cancer. He underwent subtotal stomach-preserving pancreaticoduodenectomy and D2 lymphadenectomy. CT conducted 38 months after the surgery revealed the 10-mm mass at the lower lobe in the left lung. On PET-CT, the mass showed an abnormal uptake. We suspected that the mass was either a lung metastasis or a primary lung cancer. Partial resection of the left lung was performed, and pathological findings led to the diagnosis of lung metastasis originating from the primary pancreatic cancer. Currently at 9 years post-surgery, the patient has not had any recurrence of the metastasis. In this study, we report our case and discuss the literature.
该患者为一名71岁的胰腺癌男性。他接受了保留胃的胰十二指肠次全切除术和D2淋巴结清扫术。术后38个月进行的CT检查显示左肺下叶有一个10毫米的肿块。在PET-CT上，该肿块显示出异常摄取。我们怀疑该肿块要么是肺转移瘤，要么是原发性肺癌。对左肺进行了部分切除术，病理结果诊断为源自原发性胰腺癌的肺转移。目前术后9年，患者的转移瘤未出现任何复发。在本研究中，我们报告了我们的病例并讨论了相关文献。
