Inagaki H, Nakao A, Ando N, Kotake K, Imaizumi T, Okuda N, Kaneko T, Kurokawa T, Nonami T, Takagi H
Department of Surgery II, Nagoya University School of Medicine, Japan.
Hepatogastroenterology. 1998 Nov-Dec;45(24):2413-7.
A 79 year-old male who had undergone resection of the rectum for rectal cancer was shown to have metastasis to the pancreas 11 years after surgery. The metastatic lesion was located at the tail and body of the pancreas, and was resected with distal pancreatectomy. The same patient also had metastasis to the lung 8 years after initial rectal surgery. Therefore, the course of metastasis to the pancreas was suggested to be from the metastatic lung tumor to the pancreas by hematogenous spread. The patient was considered disease-free 8 months after the pancreatectomy. Recent advances in the technology of diagnostic imaging have facilitated the selection of surgical therapy for metastasis to the pancreas in rectal cancer patients after follow-up by imaging diagnosis.
一名79岁男性因直肠癌接受了直肠切除术，术后11年被发现胰腺转移。转移灶位于胰腺体尾部，行胰腺远端切除术将其切除。该患者在初次直肠手术后8年还出现了肺转移。因此，推测胰腺转移的过程是通过血行播散，从转移的肺肿瘤转移至胰腺。胰腺切除术后8个月，该患者被认为无疾病。诊断成像技术的最新进展有助于在通过成像诊断进行随访后，为直肠癌患者胰腺转移选择手术治疗。
