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Case Report
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| Recurrence of gastric cancer invading the main pancreatic duct: A case report | ||||||
| Hiroshi Maekawa1, Hajime Orita2, Mutsumi Sakurada2, Tomoyuki Kushida2, Tomoaki Ito2, Koichi Sato3 | ||||||
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1Assistant Professor, Department of Surgery, Juntendo University School of Medicine, Shizuoka Hospital, Izu-no-kuni City, Shizuoka, Japan.
2Associate Professor, Department of Surgery, Juntendo University School of Medicine, Shizuoka Hospital, Izu-no-kuni City, Shizuoka, Japan. 3Professor, Department of Surgery, Juntendo University School of Medicine, Shizuoka Hospital, Izu-no-kuni City, Shizuoka, Japan. | ||||||
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| How to cite this article |
| Maekawa H, Orita H, Sakurada M, Kushida T, Ito T, Sato K. Recurrence of gastric cancer invading the main pancreatic duct: A case report. Int J Case Rep Images 2015;6(6):361–365. |
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Abstract
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Introduction:
Locoregional recurrence of gastric cancer is sometimes seen in clinical practice, but the finding of intraductal spread to the main pancreatic duct is unique. Here, we report a case of recurrent gastric cancer involving the main pancreatic duct caused by lymphatic spread into the pancreas.
Case Report: A 76-years-old female was admitted to our hospital because of abnormality of the pancreas without symptoms. She had been treated with distal gastrectomy due to locally advanced gastric cancer 24 months before admission. Computed tomography scan showed a swelling in the pancreatic body containing a low-density area. MRI scan revealed that the low-density area of the central pancreas was the main pancreatic duct dilated and filled with a tumor. Resection of the gastric remnant with distal pancreatectomy and splenectomy were performed under a diagnosis of a primary pancreatic tumor or gastric cancer recurrence. Pathological examination revealed that a tubular adenocarcinoma packed the main pancreatic duct, and the same neoplasm infiltrating the pancreatic parenchyma was also found. Finally, we diagnosed the lesion as the lymphatic recurrence of gastric cancer. The patient had survived for 12 months since metastasectomy without signs of recurrence. Conclusion: Recurrence of gastric cancer sometimes invades to pancreatic parenchyma and mimics the intraductal pancreatic neoplasm. If the complete resection of locoregional recurrence of gastric cancer is performed, surgical treatment will contribute to prolonging the survival. | |
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Keywords:
Gastric cancer, Locoregional recurrence, Pancreas, Metastasis
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Author Contributions
Hiroshi Maekawa – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Hajime Orita – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Mutsumi Sakurada – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Tomoyuki Kushida – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Tomoaki Ito – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Koichi Sato – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Hiroshi Maekawa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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