A Case of 15-Year Survival after Resections of Sigmoid Colon Cancer and Pulmonary and Pancreatic Metastases

Masashi Utsumi, Yoshihiro Akazai, Fumitaka Taniguti, Takaomi Takahata and Toshinori Ohara

Department of Surgery, Okayama Saiseikai General Hospital

We report long-term survival in a patient after resection for sigmoid colon cancer and pulmonary and pancreatic metastasis. A 56-year-old man undergoing sigmoidectomy for sigmoid colon cancer in May 1993 and right lower lobectomy for lung metastasis (S6) in June 1993 showed was elevated serum CEA from June 1994. Abdominal CT in March 1995 showed a mass lesion in the pancreatic tail, based on a diagnosis of pancreatic tumor, necessitating distal pancreatectomy with splenectomy and left adrenalectomy in April 1995. Histopathologically, the diagnosis was metastatic colon cancer. In November 1995, he underwent partial right upper lobectomy for right upper metastasis (S3). Now, 15 years after resection of the primary cancer, he is doing well with no sign of recurrence. The prognosis of metastatic colon cancer of the pancreas is dismal, but pancreatic resection may achieve long-term survival and we feel surgery should be conducted aggressively if curability is promising.

Key words
pancreatic metastasis, colon cancer, long term survival

Reprint requests
Masashi Utsumi Department of Surgery, Okayama Saiseikai General Hospital
1-17-18 Ifukucho, Okayama, 700-8511 JAPAN

Accepted
July 23, 2008

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