Clinical features and treatment of pancreatic metastasis from cardiac carcinoma (a case report)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZOU Hong , HUANG Zhu , XIAO Le , YAN Hongtao , SHI Li , CHEN Tao ,  TANG Lijun , WANG Tao

Department of Hepatobiliary and Pancreatic Surgery (Ward 2), General Hospital of Western Theater Command, Chengdu 610083, P. R. China;

Corresponding?author：

TANG Lijun, Email: 360914763@qq.com

Keywords：

pancreatic metastasis from cardia carcinoma; multi-disciplinary treatment

DOI：

10.7507/1007-9424.201811079

Video：

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Objective To investigate clinical features and treatment of pancreatic metastasis from cardiac carcinoma.Methods The clinicopathological data of a patient with pancreatic metastasis from cardiac carcinoma in the General Hospital of Western Theater Command were retrospectively analyzed. The results of multi-disciplinary treatment (MDT) of this case were summarized.Results The imaging findings of abdomen CT of this patient were that the solid occupying position of the head of pancreas was considered as a new organism. After discussing by the MDT and exclusing operative contraindications, the radical resection of cardiac cancer with pancreaticoduodenectomy and enlarged intraperitoneal lymph node dissection was performed under the general anesthesia. The operation was smooth and the bleeding was about 600 mL. The patient recovered well after the operation and had no serious complications. The patient was discharged on day 10 after the operation. The results of postoperative pathological diagnosis were the cardiac carcinoma with pancreatic head implantation metastasis (stage Ⅱ A, T3M0N0); obstructive jaundice, liver damage, extrahepatic and extrahepatic biliary dilatation. The patient received the intravenous infusion of the oxaliplatin pluse tigualone for 4 courses. The patient was generally in a good condition and had survived 5 months free tumor. The CA19-9 level was 45.6 U/mL (it was 449.60 U/mL before the operation).Conclusions Pancreatic metastasis from cardiac carcinoma is rare and need to be distinguished from primary pancreatic cancer. Survival time is short and prognosis is poor. Clinical symptoms are improved and survival time is prolonged after operation with postoperative chemotherapy.

Citation： ZOU Hong, HUANG Zhu, XIAO Le, YAN Hongtao, SHI Li, CHEN Tao, TANG Lijun, WANG Tao. Clinical features and treatment of pancreatic metastasis from cardiac carcinoma (a case report). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(3): 330-334. doi: 10.7507/1007-9424.201811079 Copy

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11.	李洪波, 劉崇忠. 胰頭十二指腸切除術聯合替吉奧治療胰腺癌的臨床觀察. 中國普通外科雜志, 2015, 24(9): 1232-1236.
12.	楊永超, 李宜雄. 胰腺癌外科治療的歷史和現狀. 中國普通外科雜志, 2018, 27(3): 269-283.
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1. 李鵬, 孫備. 胰腺轉移癌的研究進展. 中華外科雜志, 2012, 50(1): 79-81.
2. 許潔如, 陳超, 沈寧佳, 等. 原發性胰腺癌與胰腺轉移癌的研究進展. 醫學綜述, 2017, 23(7): 1334-1337.
3. 黨軍強, 廖江泰. 胰腺癌的早期診斷和治療進展. 現代腫瘤醫學, 2015, 23(9): 1287-1291.
4. 白雪莉, 馬濤, 梁廷波. 多學科綜合治療協作組診治局部進展期胰腺癌 1 例分析. 中國實用外科雜志, 2016, 36(5): 536-539.
5. Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
6. 黃耿文, 寧彩虹, 申鼎成, 等. 《日本胰腺協會胰腺癌臨床實踐指南(2016)》解讀. 中國普通外科雜志, 2017, 26(9): 1093-1096.
7. 楊尹默. 胰腺癌外科治療的現狀、存在問題與展望. 中國普通外科雜志, 2016, 25(9): 1231-1235.
8. 李浙民, 王胤奎, 李雙喜, 等. 第 15 版日本《胃癌處理規約》及第 5 版《胃癌治療指南》更新內容擇要. 腫瘤綜合治療電子雜志, 2018, 4(12): 48-51.
9. 胡祥. 日本第15版《胃癌處理規約》及第 5 版《胃癌治療指南》更新內容解讀. 中國實用外科雜志, 2017, 37(4): 394-398.
10. 李冬冬, 胡春華, 項洪剛, 等. 胃癌腹膜轉移的研究進展. 中國普外基礎與臨床雜志, 2017, 24(12): 1532-1535.
11. 李洪波, 劉崇忠. 胰頭十二指腸切除術聯合替吉奧治療胰腺癌的臨床觀察. 中國普通外科雜志, 2015, 24(9): 1232-1236.
12. 楊永超, 李宜雄. 胰腺癌外科治療的歷史和現狀. 中國普通外科雜志, 2018, 27(3): 269-283.
13. Makarova-Rusher OV, Ulahannan S, Greten TF, et al. Pancreatic squamous cell carcinoma: a population-based study of epidemiology, clinicopathologic characteristics and outcomes. Pancreas, 2016, 45(10): 1432-1437.
14. Choi TW, Kim SH, Shin CI, et al. MDCT findings of pancreatic metastases according to primary tumors. Abdom Imaging, 2015, 40(6): 1595-1607.
15. Ardengh JC, Lopes CV, Kemp R, et al. Accuracy of endoscopic ultrasound-guided fine-needle aspiration in the suspicion of pancreatic metastases. BMC Gastroenterol, 2013, 13: 63.
16. 鄭雷, 黃曉曼. 胰腺癌的多學科綜合診療. 中國普通外科雜志, 2016, 25(3): 318-320.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical features and treatment of pancreatic metastasis from cardiac carcinoma (a case report)

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