A Resected Case of Pancreatic Metastasis from Lung Cancer, Preoperatively Diagnosed by ERP-guided Biopsy

Minoru Kitago, Koichi Aiura, Go Wakabayashi, Keiichi Suzuki, Soujun Hoshimoto, Takeo Hashimoto, Kiyomi Terayama^*, Kaori Kameyama^*, Makio Mukai^* and Masaki Kitajima

Department of Surgery, Department of Diagnostic Pathology^*, Keio University School of Medicine

A 56-year-old man who had undergone right pneumoresection for lung cancer and resection of metastasis to the brain was referred to us for further examination of a pancreas tail tumor. Follow-up CT showed a well-demarcated, growing tumor with a central low-attenuation area in the pancreas tail. ERP showed interrupted occlusion of the main pancreatic duct in the tail and EPR-guided biopsy was conducted from this lesion. Biopsied specimens suggested lung cancer metastasis in immunohistochemical staining, so we conducted distal pancreatectomy. Final histological findings were compatible with lung cancer metastasis. The man has remained well without evidence of recurrence in the 14 months since surgery. Surgical management may thus be an optimal option in treating metastatic pancreatic tumor when secondary tumors are limited to the pancreas with the controlled primary tumor.

Key words
pancreatic metastasis, lung cancer, resection of metastatic tumor

Reprint requests
Minoru Kitago Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582 JAPAN

Accepted
January 30, 2002

To read the PDF file you will need Abobe Reader installed on your computer.