An extremely rare case of pancreatic metastasis of esophageal squamous cell carcinoma
| Autor: | Motohisa Hagiwara, Takashi Kamei, Noriaki Ohuchi, Yasuhiro Shirahata, Eiji Hashizume, Shinichiro Horii, Hiroshi Okamoto, Masahiro Chin, Yasuyuki Hara, Yuji Onodera |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Esophageal Neoplasms Biopsy medicine.medical_treatment Case Report Standardized uptake value Metastasis Pancreatectomy Pancreatic cancer Humans Medicine Esophagus Aged medicine.diagnostic_test business.industry Gastroenterology General Medicine medicine.disease Surgery Esophagectomy Pancreatic Neoplasms Treatment Outcome medicine.anatomical_structure Chemotherapy Adjuvant Positron-Emission Tomography Carcinoma Squamous Cell Esophageal Squamous Cell Carcinoma Radiology Neoplasm Recurrence Local Tomography X-Ray Computed business Chemoradiotherapy |
| Zdroj: | World Journal of Gastroenterology. 20:593 |
| ISSN: | 1007-9327 |
| Popis: | We report a rare case of a 68-year-old male with metachronous pancreatic metastasis that was resected 2 years after salvage esophagectomy for local recurrence of esophageal squamous cell carcinoma (ESCC). Two years and 8 mo ago, he had undergone definitive chemoradiotherapy for the lower thoracic ESCC and achieved a complete response. Chemoradiotherapy used the protocol of the Japan Clinical Oncology Group trial 9906. Approximately 8 mo later, he developed a local recurrence of the ESCC and underwent thoracoscopic salvage esophagectomy followed by reconstruction with a conduit colon graft via a subcutaneous route. Recently, a tumor of the pancreatic body was found on routine follow-up computed tomography (CT). The tumor diameter was 15 mm on CT, and the maximum standardized uptake value of the lesion was 5.49 at 18F-2-fluoro-2-deoxy-D-glucose positron-emission tomography, strongly suggesting pancreatic cancer. In addition, all tumor markers were within the reference intervals. Therefore, distal pancreatectomy was performed with the resultant histological diagnosis being confirmed as pancreatic metastasis of the ESCC. He was treated with adjuvant chemotherapy, and there has been no evidence of recurrence 9 mo after the surgery. Resection of pancreatic metastasis offers a good prognosis and should be considered for solitary ESCC metastasis. |
| Databáze: | OpenAIRE |
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