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;
TANG Lijun, Email: 360914763@qq.com
pancreatic metastasis from cardia carcinoma; multi-disciplinary treatment
10.7507/1007-9424.201811079
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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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