Report of Three Resected Cases of Pancreatic Metastatic Tumors

Kiyoshi Ishigure, Yoshihisa Kawase, Naohito Kanazumi, Kenji Ohshima, Katsuhiro Kotake, Hideki Kasuya, Kenrou Sawada, Toshiaki Nonami, Akio Harada and Akimasa Nakao

Department of Surgery II, Nagoya University School of Medicine

Case 1: A 55-year-old man who had undergone removal of an intracranial hemangiopericytic meningioma, together with metastases in the brain, liver, lung, and cervical vertebra, was shown to have metastasis in the body of the pancreas 18 years after his first operation. Therefore, segmental pancreatectomy was performed. He died of multiple systemic metastases 2 years and 6 months after the pancreatectomy. Case 2: A 79-year-old man was shown to have metastasis in the body of the pancreas by the elevation of serum CEA level. He had a history of rectal resection for rectal carcinoma 11 years before and right middle lobectomy for lung metastasis 8 years later. He underwent distal pancreatectomy, but died of peritonitis carcinomatosa 1 year and 2 months, postoperatively. Case 3: A 39-year-old man underwent extirpation of a leiomyosarcoma located on his back. Two years later, he complained of epigastralgia, and computed tomography revealed a tumor in the head of the pancreas. Pancreatoduodenectomy was performed. He has been alive with lung recurrence 11 months postoperatively. Pancreatic metastasis should be diagnosed and treated taking into account the features of the original tumor.

Key words
metastatic tumor in pancreas

Reprint requests
Kiyoshi Ishigure Department of Surgery II, Nagoya University School of Medicine Tsurumai-cho 65 Showa-ku, Nagoya, 466 JAPAN

Accepted
June 28, 2000

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