[A case report of port-site metastasis of pancreatic cancer after laparoscope assistted distal pancreatectomy].

Chikato Koga, Masahiro Tanemura, Hiroshi Wada, Shogo Kobayashi, Shigeru Marubashi, Hidetoshi Eguchi, Masaki Mori, Yuichiro Doki, Hiroaki Nagano

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3 Citations (Scopus)

Abstract

Laparosopic port-site metastasis is rare, but a well recognized outcome following surgery in gastroenterological surgery for gastric cancer, colon cancer and gallbladder cancer with its etiology was not clearly understood. We report a port-site metastasis of pancreatic cancer diagnosed by position emission tomography( PET). A 49-year-old man was diagnosed as splenic tumor with pancreatic tail invasion due to malignant lymphoma, and received a laparoscope assisted distal pancreatectomy. Unsuspected pancreatic cancer was discovered with histological result of moderate differentiated invasive ductal adenocarcinoma of the pancreas infiltrating spleen. Systemic chemotherapy with 1,000 mg/m2 of gemcitabine (GEM) was performed for six months. Unfortunately, our patients relapsed one year after the surgery with multiple lesions in the peritoneum, abdominal wall, as well as a laparoscopic port-site metastasis. He was started on 100 mg/body of S-1 daily, subsequently, combined chemotherapy with GEM( 80 mg/m2) and S-1( 80 mg/body) was also performed. Furthermore, he underwent palliative radiation therapy( 40 Gy) to care the pain. Fortunately, a long-term survival of 3 years was elicited by these systemic treatments and radiography. Laparoscopic port-site metastases are associated with presence of advanced cancer. Therefore, we should carefully precede a laparoscopic resection against pancreatic cancer.

Original languageEnglish
Pages (from-to)2454-2456
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume38
Issue number12
Publication statusPublished - Nov 2011

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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    Koga, C., Tanemura, M., Wada, H., Kobayashi, S., Marubashi, S., Eguchi, H., Mori, M., Doki, Y., & Nagano, H. (2011). [A case report of port-site metastasis of pancreatic cancer after laparoscope assistted distal pancreatectomy]. Gan to kagaku ryoho. Cancer & chemotherapy, 38(12), 2454-2456.