Isolated abdominal wall recurrence of pancreatic ductal adenocarcinoma: a rare case report

Abstract A 76-year-old woman was investigated for epigastric pain on a background of a laparoscopic distal pancreatectomy and splenectomy for pancreatic ductal adenocarcinoma 4 years prior. Imaging revealed an isolated 32 mm fluorodeoxyglucose avid lesion contacting both the anterior abdominal wall...

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Bibliographic Details
Published in:Journal of surgical case reports 2024-06, Vol.2024 (6), p.rjae418
Main Authors: Lun, Tegan, Palamuthusingam, Pranavan, O’Rourke, Nicholas
Format: Article
Language:English
Subjects:
Case Report
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Summary:Abstract A 76-year-old woman was investigated for epigastric pain on a background of a laparoscopic distal pancreatectomy and splenectomy for pancreatic ductal adenocarcinoma 4 years prior. Imaging revealed an isolated 32 mm fluorodeoxyglucose avid lesion contacting both the anterior abdominal wall and greater curvature of the stomach. Immunohistochemistry and fine needle biopsy confirmed a phenotype consistent with metastatic pancreatic adenocarcinoma. Laparoscopic excision of the mass and partial gastrectomy for clearance of margins was performed. Histopathology demonstrated a poorly differentiated pancreatic ductal adenocarcinoma, and the patient received adjuvant gemcitabine/capecitabine following an uncomplicated postoperative course. This article presents a rare case of isolated abdominal wall recurrence of pancreatic ductal adenocarcinoma, which was successfully treated with surgical resection and adjuvant chemotherapy.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjae418