A long-term survival surgical case of pancreatic mucinous cystadenoma coexisting with invasive ductal carcinoma with hepatic metastasis

概要

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The patient was a 75-year-old woman. She was referred to our department with a diagnosis of neoplastic lesions of the pancreas and liver found after a closer examination for diabetes that was pointed in a preoperative examination of orthopedic surgery. CT shows a cystic lesion of the pancreatic tail from body about 5cm in diameter and a solid space-occupying lesion of the same size in the liver. Distal pancreatectomy and posterior segmentectomy of the liver were performed under diagnoses of mucinous cystadenocarcinoma with hepatic metastasis. Pathological diagnoses were mucinous cystadenoma and invasive ductal carcinoma of the pancreas with hepatic metastasis. The postoperative course was uneventful and the patient had been alive more than 5 years after surgery. We thought that mucinous cystadenoma coexisting with invasive ductal carcinoma of the pancreas is very rare and the importance of long-term survival with surgery in spite of far advanced cancer with liver metastases in clinical should be reported.
日本膵臓学会の論文