下行結腸癌切除後の転移性すい腫ようの1例

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  • A RESECTABLE CASE OF PANCREATIC METASTASIS FROM DESCENDING COLON CANCER

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A 63-year-old woman undergoing left hemicolectomy for descending colon cancer in May 1997 and right superior lobectomy for right lobe metastasis in July 2000 was found in January 2003 to have elevated plasma CEA and a pancreatic tumor. Abdominal computed tomography (CT) showed a mass in the pancreatic tail. Endoscopic retrograde pancreatography showed main pancreatic duct obstruction. We diagnosed the mass as pancreatic metastasis because CA19-9 and DUPAN-II levels were within normal limit.<br>We resected the pancreas body, tail, and spleen en bloc and histological by identified the resected tumor as matastatic colon cancer. We thought that there was an indication for pancreas resection and anticipate a good prognosis.

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