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Multiple Gastric Metastases after Distal Pancreatectomy for Pancreatic Cancer
Authors:Yuto Yamada  Takashi Sasaki  Tsuyoshi Takeda  Takeshi Okamoto  Manabu Takamatsu  Chinatsu Mori  Takafumi Mie  Takaaki Furukawa  Akiyoshi Kasuga  Masato Matsuyama  Masato Ozaka  Yoshinori Igarashi  Naoki Sasahira
Affiliation:1.Department of Hepato-Biliary-Pancreatic Medicine, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Japan; 2.Division of Pathology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Japan; 3.Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University, Omori Medical Center, Japan
Abstract:A 67-year-old woman underwent distal pancreatectomy for pancreatic cancer. Recurrence in the form of lung metastasis was discovered eight months after surgery, and chemotherapy was initiated. Two years after the surgery, she was admitted for the evaluation of melena. Esophagogastroduodenoscopy revealed multiple subepithelial lesions with ulceration from the gastric body to the fornix. The histopathology of biopsy specimens was consistent with ductal adenocarcinoma, which appeared similar to the resected pancreatic cancer. The patient was diagnosed with multiple gastric metastases of pancreatic cancer. We herein report a case of pancreatic cancer with multiple gastric metastases that occurred after surgery for pancreatic tail cancer.
Keywords:pancreatic cancer   pancreatic ductal adenocarcinoma   gastric metastasis   recurrence
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