A case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancer
Abstract Background Pancreatic ductal adenocarcinoma (PDAC) readily metastasizes to the lymph nodes, liver, lung, and peritoneum; however, gastric and gallbladder metastases are rare. We report a case of metachronous gastric and gallbladder metastases from PDAC. Case presentation The patient is a 71...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2019-02-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0581-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850094089615179776 |
|---|---|
| author | Makoto Takahashi Hideyuki Yoshitomi Atsushi Kato Katsunori Furukawa Tsukasa Takayashiki Satoshi Kuboki Shigetsugu Takano Kensuke Sugiura Keishi Kawasaki Masaru Miyazaki Masayuki Ohtsuka |
| author_facet | Makoto Takahashi Hideyuki Yoshitomi Atsushi Kato Katsunori Furukawa Tsukasa Takayashiki Satoshi Kuboki Shigetsugu Takano Kensuke Sugiura Keishi Kawasaki Masaru Miyazaki Masayuki Ohtsuka |
| author_sort | Makoto Takahashi |
| collection | DOAJ |
| description | Abstract Background Pancreatic ductal adenocarcinoma (PDAC) readily metastasizes to the lymph nodes, liver, lung, and peritoneum; however, gastric and gallbladder metastases are rare. We report a case of metachronous gastric and gallbladder metastases from PDAC. Case presentation The patient is a 71-year-old man who underwent distal pancreatectomy for PDAC. Seventeen months after the surgery, a 30-mm nodule was detected at the lesser curvature of the stomach, which was diagnosed as recurrence of PDAC in the lymph nodes. He then received gemcitabine and S-1 combination chemotherapy for 6 months. Because tumor size remained approximately the same and tumor marker levels decreased, total gastrectomy and cholecystectomy were performed. Pathological examination showed well-differentiated tubular adenocarcinoma in the subserosa and muscularis propria of the stomach and gallbladder. The patient remains alive at 41 months after the second surgery with liver metastasis. Conclusion We reported a rare case of metachronous gastric and gallbladder metastases from pancreatic body cancer. |
| format | Article |
| id | doaj-art-0534bd2a6d7349b3bb00159e9fbd35d5 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-02-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-0534bd2a6d7349b3bb00159e9fbd35d52025-08-20T02:41:45ZengJapan Surgical SocietySurgical Case Reports2198-77932019-02-01511410.1186/s40792-019-0581-1A case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancerMakoto Takahashi0Hideyuki Yoshitomi1Atsushi Kato2Katsunori Furukawa3Tsukasa Takayashiki4Satoshi Kuboki5Shigetsugu Takano6Kensuke Sugiura7Keishi Kawasaki8Masaru Miyazaki9Masayuki Ohtsuka10Department of General Surgery, Chiba University, Graduate School of MedicineDepartment of General Surgery, Chiba University, Graduate School of MedicineDigestive Diseases Center, International University of Health and Welfare, Mita HospitalDepartment of General Surgery, Chiba University, Graduate School of MedicineDepartment of General Surgery, Chiba University, Graduate School of MedicineDepartment of General Surgery, Chiba University, Graduate School of MedicineDepartment of General Surgery, Chiba University, Graduate School of MedicineDepartment of General Surgery, Chiba University, Graduate School of MedicineDepartment of General Surgery, Chiba University, Graduate School of MedicineDepartment of General Surgery, Chiba University, Graduate School of MedicineDepartment of General Surgery, Chiba University, Graduate School of MedicineAbstract Background Pancreatic ductal adenocarcinoma (PDAC) readily metastasizes to the lymph nodes, liver, lung, and peritoneum; however, gastric and gallbladder metastases are rare. We report a case of metachronous gastric and gallbladder metastases from PDAC. Case presentation The patient is a 71-year-old man who underwent distal pancreatectomy for PDAC. Seventeen months after the surgery, a 30-mm nodule was detected at the lesser curvature of the stomach, which was diagnosed as recurrence of PDAC in the lymph nodes. He then received gemcitabine and S-1 combination chemotherapy for 6 months. Because tumor size remained approximately the same and tumor marker levels decreased, total gastrectomy and cholecystectomy were performed. Pathological examination showed well-differentiated tubular adenocarcinoma in the subserosa and muscularis propria of the stomach and gallbladder. The patient remains alive at 41 months after the second surgery with liver metastasis. Conclusion We reported a rare case of metachronous gastric and gallbladder metastases from pancreatic body cancer.http://link.springer.com/article/10.1186/s40792-019-0581-1Pancreatic cancerMetachronous gastric metastasisMetachronous gallbladder metastasisSurgery |
| spellingShingle | Makoto Takahashi Hideyuki Yoshitomi Atsushi Kato Katsunori Furukawa Tsukasa Takayashiki Satoshi Kuboki Shigetsugu Takano Kensuke Sugiura Keishi Kawasaki Masaru Miyazaki Masayuki Ohtsuka A case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancer Surgical Case Reports Pancreatic cancer Metachronous gastric metastasis Metachronous gallbladder metastasis Surgery |
| title | A case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancer |
| title_full | A case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancer |
| title_fullStr | A case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancer |
| title_full_unstemmed | A case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancer |
| title_short | A case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancer |
| title_sort | case of successfully resected metachronous gastric and gallbladder metastases from pancreatic body cancer |
| topic | Pancreatic cancer Metachronous gastric metastasis Metachronous gallbladder metastasis Surgery |
| url | http://link.springer.com/article/10.1186/s40792-019-0581-1 |
| work_keys_str_mv | AT makototakahashi acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT hideyukiyoshitomi acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT atsushikato acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT katsunorifurukawa acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT tsukasatakayashiki acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT satoshikuboki acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT shigetsugutakano acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT kensukesugiura acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT keishikawasaki acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT masarumiyazaki acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT masayukiohtsuka acaseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT makototakahashi caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT hideyukiyoshitomi caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT atsushikato caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT katsunorifurukawa caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT tsukasatakayashiki caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT satoshikuboki caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT shigetsugutakano caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT kensukesugiura caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT keishikawasaki caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT masarumiyazaki caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer AT masayukiohtsuka caseofsuccessfullyresectedmetachronousgastricandgallbladdermetastasesfrompancreaticbodycancer |