Resectable carcinoma of the pancreatic head developing 7 years and 4 months after distal pancreatectomy for carcinoma of the pancreatic tail
A 67‐year‐old woman was referred with an abnormal finding on an abdominal echogram but presented with no symptoms; a pancreatic tail tumor was detected by ultrasonography. Biochemical examinations showed slight elevation of serum carcinoembryonic antigen level. The lesion was resected by tail and bo...
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| Veröffentlicht in: | Journal of Hepato‐Biliary‐Pancreatic Surgery 2000, Vol.7 (3), p.316-320 |
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| container_title | Journal of Hepato‐Biliary‐Pancreatic Surgery |
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| creator | Eriguchi, Naofumi Aoyagi, Shigeaki Imayama, Hiroyasu Okuda, Koji Hara, Masao Fukuda, Shuichi Tamae, Tsuyoshi Kanazawa, Naomitsu Noritomi, Tomoaki Hiraki, Mamoru Jimi, Atsuo |
| description | A 67‐year‐old woman was referred with an abnormal finding on an abdominal echogram but presented with no symptoms; a pancreatic tail tumor was detected by ultrasonography. Biochemical examinations showed slight elevation of serum carcinoembryonic antigen level. The lesion was resected by tail and body pancreatectomy and her postoperative course was uneventful. Seven years and 4 months after the initial operation, however, her serum level of carbohydrate antigen 19‐9 was found to be elevated, and a recurrence of pancreatic cancer was suspected. Examinations revealed a mass in the head of the remnant pancreas. The lesion was radically resected by total remnant pancreatectomy. Histological examinations showed that the initial tumor was a well differentiated tubular adenocarcinoma, while the second tumor was characterized as a moderately differentiated tubular adenocarcinoma. The surgical margins of the distal pancreatectomy specimen were free of atypical cells. Therefore, the position of the second lesion diminished the likelihood that it had developed by intrapancreatic metastasis. This suggests that the second carcinoma in the head of the pancreas may have been a second primary lesion. |
| doi_str_mv | 10.1007/s005340070055 |
| format | Article |
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Biochemical examinations showed slight elevation of serum carcinoembryonic antigen level. The lesion was resected by tail and body pancreatectomy and her postoperative course was uneventful. Seven years and 4 months after the initial operation, however, her serum level of carbohydrate antigen 19‐9 was found to be elevated, and a recurrence of pancreatic cancer was suspected. Examinations revealed a mass in the head of the remnant pancreas. The lesion was radically resected by total remnant pancreatectomy. Histological examinations showed that the initial tumor was a well differentiated tubular adenocarcinoma, while the second tumor was characterized as a moderately differentiated tubular adenocarcinoma. The surgical margins of the distal pancreatectomy specimen were free of atypical cells. Therefore, the position of the second lesion diminished the likelihood that it had developed by intrapancreatic metastasis. 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This suggests that the second carcinoma in the head of the pancreas may have been a second primary lesion.</description><subject>Adenocarcinoma - diagnosis</subject><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - surgery</subject><subject>Aged</subject><subject>Biopsy, Needle</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>metachronous cancer</subject><subject>Neoplasms, Second Primary - diagnostic imaging</subject><subject>Neoplasms, Second Primary - pathology</subject><subject>Neoplasms, Second Primary - surgery</subject><subject>Pancreatectomy - methods</subject><subject>Pancreatic Neoplasms - diagnosis</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>remnant pancreatic cancer</subject><subject>second carcinoma</subject><subject>Ultrasonography</subject><issn>0944-1166</issn><issn>1868-6982</issn><issn>1436-0691</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRbK0evcqevEX3M9kctahVCoroOWw2ExtJsnF3q-Q_-KNNSRG99PTOwDPvwIPQKSUXlJDk0hMiuRimIeUemlIVqyhOFdtHU5IKEVEaxxN05P07ITSRKjlEE0oGIOZ8ir6fwYMJOq8BG-1M1dpGY1visALc6dY40KEyeAW6wAV8Qm27qn3DCe5BO491W2CBG9uG1bCUARwuKh90_Xs8tNumx6V1Ox8EXdXH6KDUtYeTbc7Q6-3Ny3wRLR_v7udXy8hwwWQkTW64iRMtFJWUqThJARIpSJkySg0YVgimlGSsYNIMbkzKypIrLXOmOGd8hs7H3s7ZjzX4kDWVN1DXugW79lnCmJRMbMBoBI2z3jsos85VjXZ9Rkm20Z_90z_wZ9vidd5A8YcefQ8AG4GvqoZ-d1v2sLh-ioXkPxa1jzg</recordid><startdate>2000</startdate><enddate>2000</enddate><creator>Eriguchi, Naofumi</creator><creator>Aoyagi, Shigeaki</creator><creator>Imayama, Hiroyasu</creator><creator>Okuda, Koji</creator><creator>Hara, Masao</creator><creator>Fukuda, Shuichi</creator><creator>Tamae, Tsuyoshi</creator><creator>Kanazawa, Naomitsu</creator><creator>Noritomi, Tomoaki</creator><creator>Hiraki, Mamoru</creator><creator>Jimi, Atsuo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2000</creationdate><title>Resectable carcinoma of the pancreatic head developing 7 years and 4 months after distal pancreatectomy for carcinoma of the pancreatic tail</title><author>Eriguchi, Naofumi ; Aoyagi, Shigeaki ; Imayama, Hiroyasu ; Okuda, Koji ; Hara, Masao ; Fukuda, Shuichi ; Tamae, Tsuyoshi ; Kanazawa, Naomitsu ; Noritomi, Tomoaki ; Hiraki, Mamoru ; Jimi, Atsuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3425-5cbc3c67a4815128679ee7540f9211cec2d4288522d25c400c92ff38a5b283323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adenocarcinoma - diagnosis</topic><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - surgery</topic><topic>Aged</topic><topic>Biopsy, Needle</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>metachronous cancer</topic><topic>Neoplasms, Second Primary - diagnostic imaging</topic><topic>Neoplasms, Second Primary - pathology</topic><topic>Neoplasms, Second Primary - surgery</topic><topic>Pancreatectomy - methods</topic><topic>Pancreatic Neoplasms - diagnosis</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>remnant pancreatic cancer</topic><topic>second carcinoma</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eriguchi, Naofumi</creatorcontrib><creatorcontrib>Aoyagi, Shigeaki</creatorcontrib><creatorcontrib>Imayama, Hiroyasu</creatorcontrib><creatorcontrib>Okuda, Koji</creatorcontrib><creatorcontrib>Hara, Masao</creatorcontrib><creatorcontrib>Fukuda, Shuichi</creatorcontrib><creatorcontrib>Tamae, Tsuyoshi</creatorcontrib><creatorcontrib>Kanazawa, Naomitsu</creatorcontrib><creatorcontrib>Noritomi, Tomoaki</creatorcontrib><creatorcontrib>Hiraki, Mamoru</creatorcontrib><creatorcontrib>Jimi, Atsuo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Hepato‐Biliary‐Pancreatic Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eriguchi, Naofumi</au><au>Aoyagi, Shigeaki</au><au>Imayama, Hiroyasu</au><au>Okuda, Koji</au><au>Hara, Masao</au><au>Fukuda, Shuichi</au><au>Tamae, Tsuyoshi</au><au>Kanazawa, Naomitsu</au><au>Noritomi, Tomoaki</au><au>Hiraki, Mamoru</au><au>Jimi, Atsuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resectable carcinoma of the pancreatic head developing 7 years and 4 months after distal pancreatectomy for carcinoma of the pancreatic tail</atitle><jtitle>Journal of Hepato‐Biliary‐Pancreatic Surgery</jtitle><addtitle>J Hepatobiliary Pancreat Surg</addtitle><date>2000</date><risdate>2000</risdate><volume>7</volume><issue>3</issue><spage>316</spage><epage>320</epage><pages>316-320</pages><issn>0944-1166</issn><eissn>1868-6982</eissn><eissn>1436-0691</eissn><abstract>A 67‐year‐old woman was referred with an abnormal finding on an abdominal echogram but presented with no symptoms; a pancreatic tail tumor was detected by ultrasonography. Biochemical examinations showed slight elevation of serum carcinoembryonic antigen level. The lesion was resected by tail and body pancreatectomy and her postoperative course was uneventful. Seven years and 4 months after the initial operation, however, her serum level of carbohydrate antigen 19‐9 was found to be elevated, and a recurrence of pancreatic cancer was suspected. Examinations revealed a mass in the head of the remnant pancreas. The lesion was radically resected by total remnant pancreatectomy. Histological examinations showed that the initial tumor was a well differentiated tubular adenocarcinoma, while the second tumor was characterized as a moderately differentiated tubular adenocarcinoma. The surgical margins of the distal pancreatectomy specimen were free of atypical cells. Therefore, the position of the second lesion diminished the likelihood that it had developed by intrapancreatic metastasis. This suggests that the second carcinoma in the head of the pancreas may have been a second primary lesion.</abstract><cop>Japan</cop><pmid>10982633</pmid><doi>10.1007/s005340070055</doi><tpages>5</tpages></addata></record> |
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| subjects | Adenocarcinoma - diagnosis Adenocarcinoma - pathology Adenocarcinoma - surgery Aged Biopsy, Needle Cholangiopancreatography, Endoscopic Retrograde Female Follow-Up Studies Humans Magnetic Resonance Imaging metachronous cancer Neoplasms, Second Primary - diagnostic imaging Neoplasms, Second Primary - pathology Neoplasms, Second Primary - surgery Pancreatectomy - methods Pancreatic Neoplasms - diagnosis Pancreatic Neoplasms - pathology Pancreatic Neoplasms - surgery remnant pancreatic cancer second carcinoma Ultrasonography |
| title | Resectable carcinoma of the pancreatic head developing 7 years and 4 months after distal pancreatectomy for carcinoma of the pancreatic tail |
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