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KMID : 0364020170500050326
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Korean Journal of Thoracic and Cardiovascular Surgery
2017 Volume.50 No. 5 p.326 ~ p.328
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Resection for Pancreatic Cancer Lung Metastases
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Okui Masayuki
Yamamichi Takashi
Asakawa Ayaka
Harada Masahiko
Horio Hirotoshi
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Abstract
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Background: Pancreatic cancer is a highly aggressive solid tumor. Patients with metastases from pancreatic cancer have poor survival rates. Here, we report the outcomes of 6 patients for whom resection of lung metastases was performed after a pancreatectomy to treat pancreatic cancer.
Methods: We retrospectively reviewed the perioperative clinical data of patients with lung metastases resulting from primary pancreatic cancer who were treated with lung resection between 2008 and 2015. We report 6 cases where lung resection was performed to treat lung metastases after a pancreatectomy.
Results: The number of lung metastases was 1 in 5 cases and 2 in 1 case. The surgical procedures performed to treat the lung metastases included 4 wedge resections and 2 lobectomies. The cell type of the primary tumor and metastases was tubular adenocarcinoma in 5 cases and intraductal papillary-mucinous carcinoma in 1 case. All 6 patients survived with a mean follow-up period of 65.6 months, although the disease recurred in 2 patients.
Conclusion: Resection of lung metastases resulting from primary pancreatic cancer may lengthen survival, provided the patient can tolerate surgery.
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KEYWORD
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Lung, Metastasis, Pancreatic neoplasms
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