Two Cases of Pancreatic Metastasis from Colorectal Cancer

• Published in: Nippon Shokaki Geka Gakkai zasshi Vol. 44; no. 5; pp. 584 - 590
• Main Authors: Amikura, Katsumi, Tanaka, Yoichi, Kurosumi, Masafumi, Yamaura, Tadayoshi, Kawarabayashi, Nobuaki, Nishimura, Yuu, Sakamoto, Hirohiko, Nishimura, Yoji, Yatsuoka, Toshimasa
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Gastroenterological Surgery 2011
• Subjects: colorectal cancer; pancreatic metastasis; spermatic cord metastasis
• ISSN: 0386-9768; 1348-9372
• DOI: 10.5833/jjgs.44.584

We report two cases of resection of pancreatic metastasis after operation for colorectal cancer in reference to the literature of very rare spermatic cord metastasis, one, a long-term survival case, and the other, accompanied by right spermatic cord metastasis. Case 1: A 63-year-old woman underwent total pelvic exenteration for rectal cancer, followed by adjuvant chemotherapy, and operation for pulmonary metastasis 24 months later. Abdominal computed tomography (CT) showed a mass in the pancreatic tail 69 months later. She underwent distal pancreatectomy and right partial nephrectomy. The postoperative course was uneventful and the patient is still alive at 85 months afterpancreatic operation. Case 2: A 56-year-old man underwent extended right hemicolectomy for carcinoma of the transverse colon. Operations for metachronous hepatic, pulmonary and lymph node metastases were performed at 12 months, 19 months, and 34 months after colectomy, respectively. An abdominal echography 49 months later showed a mass in the pancreatic body. Positron emission tomography (PET)/CT indicated accumulation in the pancreas and pelvis. Diagnosis of metastasis to the pancreas and the right spermatic cord was made. We resected the pancreatic body, tail and right spermatic cord 54 months after the colon operation.The pathological diagnosis was compatible with hematogenous metastasis of colon cancer. Aggressive surgery for pancreatic metastasis from colorectal cancer is often recommended and our experience supports this idea.