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Surgical Case Reports

, 3:31

First Online: 18 February 2017Received: 21 March 2016Accepted: 15 February 2017

Abstract

Metastatic lesion of the pancreas originated from other organs is uncommon. The aim of this report was to evaluate the outcome of surgery in patients with isolated metastases to the pancreas. Nine patients underwent pancreatic resection for metastatic malignant disease from 2000 to 2015 at the Department of Gastroenterological Surgery of the Kumamoto University Hospital. The primary lesion was renal cell carcinoma in 7 cases, colon cancer in 1 and malignant melanoma in 1. The median interval from the initial operation to pancreatic resection was 138 months. Operative procedure was distal pancreatectomy in 6 cases, pancreaticoduodenectomy in 2 and total pancreatectomy in 1. Two patients with renal cell carcinoma and 1 patient with malignant melanoma died 131, 108, and 4 months after the pancreatic resection, respectively. Other 6 patients have survived until now with 23.5 months of observation periods after pancreatic resection. In conclusion, pancreatic metastasis can develop years after the treatment of primary lesion. Pancreatic resection can achieved long-term survival, at least in the patients who had primary renal carcinoma.

KeywordsMetastasis Pancreas Operation AbbreviationsDGEDelayed gastric emptying

DPDistal pancreatectomy

EUS-FNAEndoscopic ultrasound-guided fine needle aspiration

IFNInterferon

IL-2Interleukin-2

MMMalignant melanoma

PDPancreaticoduodenectomy

POPFPostoperative pancreatic fistula

PPPDPylorus-preserving pancreaticoduodenectomy

PRPartial response

RCCRenal cell carcinoma

SSPPDSubtotal stomach-preserving pancreaticoduodenectomy

TPTotal pancreatectomy

UFTTegafur-uracil

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Author: Taisuke Yagi - Daisuke Hashimoto - Katsunobu Taki - Kensuke Yamamura - Akira Chikamoto - Masaki Ohmuraya - Toru Beppu - Hid

Source: https://link.springer.com/article/10.1186/s40792-017-0308-0







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