A case of pulmonary metastases from pancreatic, and breast cancer

Surgical resection of solitary pulmonary metastases from both breast pancreatic and cancer in a single patient is very rare, and has not been reported so far. The patient was a 75-year-old female with a surgical history of breast cancer at 65 and pancreatic cancer at 69 respectively. At age 73, chest computed tomography (CT) confirmed two nodules measuring about 10 mm in diameter in the left lung: one was in the S4 segment, the other in the S8 segment. These nodules were removed by partial pulmonary resection under video-assisted thoracoscopic surgery (VATS) and were pathologically proven to be metastases from pancreatic cancer. At age75, chest CT showed a well-marginated nodule measuring 12 mm in diameter in the right S5 segment. Right middle lobectomy under VATS was performed, and pathological examination of the surgical specimen showed metastasis from breast cancer.