A Long-term Survival with Surgery for Hepatic, Pulmonary and Pancreatic Metastases after Resection of Cecal Cancer

Katsunobu Oyama, Jyun Kimura, Michiyo Karato, Akihiko Morita, Itsuro Terada, Seiichi Yamamoto, Masahide Kaji, Kiichi Maeda, Kazuhisa Yabushita and Kohji Konishi

Department of Surgery, Toyama Prefectural Central Hospital

The prognosis of colon cancer with pancreatic metastasis is very poor. Cases of colon cancer with resected pancreatic metastasis are rarely reported. We report a case of cecal cancer with metachronous hepatic, pulmonary and pancreatic metastases, and the complete resection of each metastatic lesion carried a good prognosis. A 65 years old man underwent a right hemi-colectomy for cecal cancer. Six months later, partial hepatectomy was performed for a metastasis. Two years later, a right upper lobectomy was performed for pulmonary metastasis. A nodular lesion was revealed in the tail of pancreas, two years and ten months after the first operation. The resection of the pancreatic body and tail was performed, and the pathological diagnosis was compatible for metastasis of cecal cancer. Subsequently, partial pneumonectomis was performed for two metastatic lesions in the left lung, tree years and eight months after the first operation. At present, no signs of recurrence have been observed, and six years have passed from the first resection of metastasis. It is desirable to perform repeated surgery aggressively, if complete resection is possible.

Key words
colon cancer, pancreatic metastasis, surgical treatment

Reprint requests
Katsunobu Oyama Department of Surgery, Toyama Prefectural Central Hospital
2-2-78 Nishinagae, Toyama, 930-8550 JAPAN

Accepted
December 16, 2005

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