AI Article Synopsis

  • - A 67-year-old man with ascending colon cancer and liver metastases underwent surgery and chemotherapy; he was later diagnosed with pancreatic metastasis.
  • - Following the diagnosis, he had multiple surgeries, including a pancreaticoduodenectomy and a low anterior resection for rectal cancer, which indicated he had metastatic disease.
  • - After his pancreatic surgery, there were no signs of recurrence for 8 months; however, resection of pancreatic metastasis is uncommon and requires more research to determine effective treatment guidelines.

Article Abstract

A67 -year-old man was diagnosed with ascending colon cancer and multiple liver metastases and underwent laparoscopic right hemicolectomy(D3 lymphadenectomy). Pathological examination indicated tubular adenocarcinoma(tub1, pT4apN2H2M1[HEP], pStage Ⅳ). After chemotherapy, he underwent hepatectomy. One year and 9 months after the first operation, obstructive jaundice appeared. Abdominal computed tomography revealed a tumor 2 cm in size in the head of the pancreas. After several detailed examinations, he was diagnosed with pancreatic metastasis of ascending colon cancer. After partial resection of the left lung metastasis, pancreaticoduodenectomy(SSPPD-Ⅱ A-1, D1 lymphadenectomy)and low anterior resection(LAR)for early rectal cancer were performed. The tumor was positive for CDX2(+), resulting in a diagnosis of pancreatic metastasis. There has been no indication of recurrence 8 months after the pancreatic surgery. Resectable pancreatic metastasis from colon cancer is rare, and there are no clear indications for resection. Some cases of long-term survival have been reported; however, further studies are needed in order to establish a consensus.

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