Abstract
BackgroundPancreatic cancer has a grave prognosis. Most patients with metastatic pancreatic cancer are inoperable, and case reports of resection of lung metastasis from pancreatic cancer are rare. This patient underwent resection of a lung metastasis twice after pancreaticoduodenectomy for pancreatic cancer.Case presentationA 75-year-old man with pancreaticoduodenectomy and adjuvant chemotherapy for pancreatic cancer was diagnosed with a lung metastasis 48 months after surgery. Histological findings after thoracoscopic partial resection of the right lung by video-assisted thoracic surgery confirmed the presence of a lung metastasis originating from the pancreatic cancer. The patient refused chemotherapy. A new lung metastasis was detected 84 months following the second surgery (132 months after the pancreaticoduodenectomy). After thoracoscopic partial resection of the left lung by video-assisted thoracic surgery, the histological findings once again confirmed a metastasis that originated from the pancreatic cancer. The patient refused chemotherapy and remained alive and relapse-free after the 10-month follow-up.ConclusionDetection and resection of an isolated lung metastasis originating from pancreatic cancer may improve prognosis. Careful follow-up may be warranted to identify patients who might benefit from aggressive local treatment of oligometastasic pancreatic cancer.
Highlights
Detection and resection of an isolated lung metastasis originating from pancreatic cancer may improve prognosis
Computed tomography (CT) revealed a mass in the head of the pancreas that was diagnosed as pancreatic cancer
Adjuvant chemotherapy was recommended to prevent recurrence because the lung metastasis was suspected to be pancreatic cancer based on the clinical course, but the patient refused
Summary
Detection and resection of an isolated lung metastasis originating from pancreatic cancer may improve prognosis.
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