A Long-Term Survival Case of Hepatic Metastasis from Cancer of the Papilla of Vater Treated with Hepatectomy after Arterial Chemotherapy

Tadashi Bando, Syozo Hojo, Tomoko Watanabe, Masato Endo, Yoshinobu Yokoyama, Satoshi Nozawa, Fuminori Yamagishi, Kazuhiro Tsukada and Shin Ishizawa*

Second Department of Surgery and Second Department of Pathology*, Toyama University, School of Medicine

A case of hepatic metastasis from cancer of the papilla of Vater carcinoma in which hepatectomy was performed after arterial chemotherapy is reported. A 77-year-old man underwent pylorus-preserving pancreatoduodenectomy in March 1997. The histopathological diagnosis was well differentiated adenocarcinoma with direct infiltration of the pancreas and duodenum. A hepatic metastasis was detected on a follow up CT scan in February 2000, 3 years after the primary operation. We treated the patient by partial resection of the liver after arterial chemotherapy with 5-FU and CDDP, and he is alive without recurrence about 5 years after hepatectomy.

Key words
cancer of the papilla of Vater, hepatectomy, metastatic liver cancer

Reprint requests
Tadashi Bando Second Department of Surgery, Toyama University, School of Medicine
2630 Sugitani, Toyama, 930-0194 JAPAN

Accepted
November 30, 2005

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