A Five Year Survival Case after Hepatectomy for Early Recurrence of Carcinoma of the Papilla of Vater

Keiko Nakadaira, Isao Kurosaki* and Hidenori Ueki

Department of Surgery, Kameda Daiiti Hospital
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences*

We report five-year posthepatectomy survival in early hepatic metastasis from carcinoma of the papilla of Vater. A 66-year-old woman who had pancreatoduodenectomy for carcinoma of the papilla of Vater with multiple lymph node involvements underwent extended left hepatic lobectomy five months after the first operation for a solitary metastatic liver tumor. She then underwent biweekly adjuvant chemotherapy with gemcitabine for 15 months and has remained well without recurrence in the five years since the second operation. Few reports have been made of long-term survivors after hepatectomy for metastatic liver tumors in biliary tract cancer. The woman we treated with hepatectomy and adjuvant chemotherapy has thus survived despite multiple lymph node metastasis and early hepatic recurrence.

Key words
carcinoma of the papilla of Vater, early hepatic recurrence, adjuvant chemotherapy

Reprint requests
Keiko Nakadaira Department of Surgery, Kameda Daiichi Hospital
2-5-22 Nishimachi, Niigata, 950-0165 JAPAN

Accepted
May 19, 2010

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