Intraoperative cytodiagnosis useful in a resectable case of solitary lung metastasis of pancreatic cancer

DOI 5 Citations 12 References
  • Enomoto Yutaka
    Department of Thoracic Surgery, Nippon Medical School, Tamanagayama Hospital
  • Saitoh Yuji
    Department of Thoracic Surgery, Nippon Medical School, Tamanagayama Hospital
  • Tanimura Shigeo
    Department of Thoracic Surgery, Nippon Medical School, Tamanagayama Hospital
  • Maeda Shoutarou
    Department of Pathology, Nippon Medical School, Tamanagayama Hospital
  • Katayama Hironori
    Department of Pathology, Nippon Medical School, Tamanagayama Hospital
  • Koizumi Kiyoshi
    Department of Thoracic Surgery, Nippon Medical School

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  • 術中穿刺細胞診が有用であった膵臓癌孤立性肺転移の一切除例

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Abstract

A 79-year-old female underwent surgery for right breast and pancreatic cancer. Eight months after the operation for pancreatic cancer, a tumor, suspected as primary lung cancer, was pointed out in the left lower lobe (S10) on CT. We decided on surgery because of no distant metastasis detected on PET and MRI. We performed VATS partial resection of the left lower lobe due to a metastatic tumor from pancreatic cancer based on the cytodiagnosis via intra-operative aspiration biopsy. Cases of resectable solitary lung metastasis from pancreatic cancer are very rare. The differentiation of this tumor as a metastatic tumor from pancreatic or primary lung cancer is difficult. However, we consider that cytodiagnosis via intraoperative aspiration biopsy is useful.

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