A Case of Remnant Pancreatic Cancer, Resected 15 Years after Pancreatoduodenectomy for Cancer of the Papilla of Vater

Kiyoshi Suzumura, Akihiro Yamaguchi, Masatoshi Isogai, Yoshio Watanabe, Yuji Kaneoka, Masahiko Suzuki and Gen Sugawara

Department of Surgery, Ogaki Municipal Hospital

We report a case of resected remnant pancreatic cancer. A 70-year-old woman hospitalized for epigastralgic and back pain who had undergone pancreatoduodenectomy (PD) for cancer of the papilla of Vater in 1983, had serum carcinoembryonic antigen (CEA) of 7.5U/ml. Computed tomography showed a tumor about 3 cm in diameter near the anastomosis of the jejunum and remnant pancreas.
Transarterial portography showed severe stenosis of the splenic vein. She was diagnosed as having remnant pancreatic carcinoma and underwent total remnant pancreatectomy together with portal Histologically, the tumor was papillary adenocarcinoma of the pancreas. She was discharged on 64 postoperative day, but died of hepatic metastasis 1.77 years after surgery. It thus appears that remnant pancreatic cancer is metachronous in occurrence.

Key words
pancreatoduodenectomy, remnant pancreatic cancer, carcinoma of Vater's papilla

Reprint requests
Kiyoshi Suzumura Department of Surgery, Ogaki Municipal Hospital 4-86 Minaminokawa-cho, Ogaki, 503-0852 JAPAN

Accepted
November 27, 2002

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