Successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma: a case report and review of the literature
Abstract Background Oesophageal cancer has a high metastatic potential and poor prognosis, with a significant risk of recurrence after radical resection. However, resected pancreatic metastasis from oesophageal cancer is rare. Case presentation Eleven years prior, a seventy-year-old woman had been t...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-04-01
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| Series: | BMC Cancer |
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| Online Access: | http://link.springer.com/article/10.1186/s12885-019-5549-9 |
| _version_ | 1818014833963958272 |
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| author | Wataru Koizumi Minoru Kitago Masahiro Shinoda Hiroshi Yagi Yuta Abe Go Oshima Shutaro Hori Kenta Inomata Hirofumi Kawakubo Miho Kawaida Yuko Kitagawa |
| author_facet | Wataru Koizumi Minoru Kitago Masahiro Shinoda Hiroshi Yagi Yuta Abe Go Oshima Shutaro Hori Kenta Inomata Hirofumi Kawakubo Miho Kawaida Yuko Kitagawa |
| author_sort | Wataru Koizumi |
| collection | DOAJ |
| description | Abstract Background Oesophageal cancer has a high metastatic potential and poor prognosis, with a significant risk of recurrence after radical resection. However, resected pancreatic metastasis from oesophageal cancer is rare. Case presentation Eleven years prior, a seventy-year-old woman had been treated with transthoracic radical oesophagectomy for oesophageal squamous cell carcinoma. Four years prior, she had undergone chemotherapy for lymph node recurrence at the splenic hilum and achieved a partial response. She had also received chemoradiotherapy for lymph node recurrence at the splenic hilum 3 years prior; a complete response was achieved. However, routine follow-up with abdominal computed tomography recently revealed a tumour at the pancreatic tail and swollen lymph nodes. The patient underwent distal pancreatectomy on the basis of a pre-operative diagnosis of primary pancreatic cancer, although a histological examination of the surgical specimen revealed metastatic squamous cell carcinoma that was compatible with metachronous pancreatic metastasis from oesophageal squamous cell carcinoma. The patient has been undergoing clinical follow-up without adjuvant therapy and has been disease-free for 24 months after resection of the pancreatic metastasis. Conclusions Resection of pancreatic metastasis may improve prognosis and should be considered when treating patients with solitary metastasis from oesophageal squamous cell carcinoma. |
| first_indexed | 2024-04-14T06:50:06Z |
| format | Article |
| id | doaj.art-233abb05e7194a4494ebe0d9a7eddd66 |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-04-14T06:50:06Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-233abb05e7194a4494ebe0d9a7eddd662022-12-22T02:07:03ZengBMCBMC Cancer1471-24072019-04-011911510.1186/s12885-019-5549-9Successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma: a case report and review of the literatureWataru Koizumi0Minoru Kitago1Masahiro Shinoda2Hiroshi Yagi3Yuta Abe4Go Oshima5Shutaro Hori6Kenta Inomata7Hirofumi Kawakubo8Miho Kawaida9Yuko Kitagawa10Department of Surgery, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineDepartment of Pathology, Keio University School of MedicineDepartment of Surgery, Keio University School of MedicineAbstract Background Oesophageal cancer has a high metastatic potential and poor prognosis, with a significant risk of recurrence after radical resection. However, resected pancreatic metastasis from oesophageal cancer is rare. Case presentation Eleven years prior, a seventy-year-old woman had been treated with transthoracic radical oesophagectomy for oesophageal squamous cell carcinoma. Four years prior, she had undergone chemotherapy for lymph node recurrence at the splenic hilum and achieved a partial response. She had also received chemoradiotherapy for lymph node recurrence at the splenic hilum 3 years prior; a complete response was achieved. However, routine follow-up with abdominal computed tomography recently revealed a tumour at the pancreatic tail and swollen lymph nodes. The patient underwent distal pancreatectomy on the basis of a pre-operative diagnosis of primary pancreatic cancer, although a histological examination of the surgical specimen revealed metastatic squamous cell carcinoma that was compatible with metachronous pancreatic metastasis from oesophageal squamous cell carcinoma. The patient has been undergoing clinical follow-up without adjuvant therapy and has been disease-free for 24 months after resection of the pancreatic metastasis. Conclusions Resection of pancreatic metastasis may improve prognosis and should be considered when treating patients with solitary metastasis from oesophageal squamous cell carcinoma.http://link.springer.com/article/10.1186/s12885-019-5549-9Isolated metastasisPancreasPancreatic metastasisOesophageal cancer |
| spellingShingle | Wataru Koizumi Minoru Kitago Masahiro Shinoda Hiroshi Yagi Yuta Abe Go Oshima Shutaro Hori Kenta Inomata Hirofumi Kawakubo Miho Kawaida Yuko Kitagawa Successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma: a case report and review of the literature BMC Cancer Isolated metastasis Pancreas Pancreatic metastasis Oesophageal cancer |
| title | Successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma: a case report and review of the literature |
| title_full | Successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma: a case report and review of the literature |
| title_fullStr | Successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma: a case report and review of the literature |
| title_full_unstemmed | Successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma: a case report and review of the literature |
| title_short | Successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma: a case report and review of the literature |
| title_sort | successful resection of pancreatic metastasis from oesophageal squamous cell carcinoma a case report and review of the literature |
| topic | Isolated metastasis Pancreas Pancreatic metastasis Oesophageal cancer |
| url | http://link.springer.com/article/10.1186/s12885-019-5549-9 |
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