A Case of Mucin Producing Cancer of the Pancreas Following Surgically Treated Malignant Lymphoma of the Jejunum, and Multiple Cancers of the Colorectum

Seiichi Sugihara, Naoyuki Nakatsuji, Takashi Nishiwada, Masato Horikawa, Kazutaka Matsumura

Department of Surgery, Hoshigaoka Kouseinenkin Hospital

This paper describes a patient with a unique history of jejunal malignant lymphoma, multiple primary colorectal cancers, and mucin-producing pancreatic cancer. A 65-year-old man was admitted to our hospital because of vomiting. His medical history included partial jejunectomy for malignant lymphoma, right and left hemicolectomy including the recto-sigmoid region (preserved transverse segment) for multiple synchronous colon cancers at age 49 years, and residual rectal resection for rectal cancer at age 55 years. Palliative operation was performed following an intraoperative diagnosis of duodenal cancer or papilla of Vater cancer. The patient died 20 months after the operation. Autopsy showed no evidence of recurrent malignant lymphoma or colorectal cancer, however, there was a large, mucin-producing tumor in the pancreatic head and the duodenal wall. Histologic examination revealed mucin-producing pancreatic cancer derived from the pancreatic duct, with invasion of the duodenum. The patient lived more than 16 years with an adequate QOL after the first operation. Furthermore, the residual short transverse colon had maintained its function.

Key words
jejunal malignant lymphoma, multiple colorectal cancers, mucin producing pancreatic cancer

Reprint requests
Seiichi Sugihara Department of Surgery, Hoshigaoka Kouseinenkin Hospital
4-8-1 Hoshigaoka, Hirakata, 573-8511 JAPAN

Accepted
May 19, 1998

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