Abstract
Double cancer of the stomach and pancreas is very rare and the prognosis has been reported poor. This paper describes a case of double cancer of the stomach and pancreas, in which the rapidly advanced pancreatic cancer following radical operation for gastric cancer was successfully treated by pancreaticoduodenectomy. A 65-year-old man underwent distal partial gastrectomy for an early gastric cancer. Five months later, he was admitted to the hospital again because of reinforced jaundice. Pancreatic cancer was suspected by CT scan and ultrasonography, and pancreaticoduodenectomy was successfully performed. The patient is alive more than 3 years after the operation. In double cancer of the stomach and pancreas, gastric lesion is commonly detected in an early stage and radical operation is possible, but most pancreatic lesions are in an advanced stage when detected which makes a radical operation impossible. Therefore, prognosis of the double cancer of the stomach and pancreas is determined by the state of pancreatic cancer. We must pay full attention to probable coexistence of another lesion, even if the gastric cancer is in an early stage.
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Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
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