An extremely rare case of pancreatic metastasis of esophageal squamous cell carcinoma

We report a rare case of a 68-year-old male with metachronous pancreatic metastasis that was resected2 years after salvage esophagectomy for local recurrence of esophageal squamous cell carcinoma(ESCC).Two years and 8 mo ago,he had undergone definitive chemoradiotherapy for the lower thoracic ESCC a...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2014-01, Vol.20 (2), p.593-597
Main Authors: Okamoto, Hiroshi, Hara, Yasuyuki, Chin, Masahiro, Hagiwara, Motohisa, Onodera, Yuji, Horii, Shinichiro, Shirahata, Yasuhiro, Kamei, Takashi, Hashizume, Eiji, Ohuchi, Noriaki
Format: Article
Language:English
Subjects:
Aged
Biopsy
Carcinoma, Squamous Cell - secondary
Carcinoma, Squamous Cell - surgery
Case Report
Chemotherapy, Adjuvant
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophageal Squamous Cell Carcinoma
Esophagectomy
Esophagus
Humans
Male
Metachronous
metastasis
Neoplasm Recurrence, Local
Pancreatectomy
pancreatic
Pancreatic Neoplasms - secondary
Positron-Emission Tomography
Squam
Tomography, X-Ray Computed
Treatment Outcome
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Summary:We report a rare case of a 68-year-old male with metachronous pancreatic metastasis that was resected2 years after salvage esophagectomy for local recurrence of esophageal squamous cell carcinoma(ESCC).Two years and 8 mo ago,he had undergone definitive chemoradiotherapy for the lower thoracic ESCC and achieved a complete response.Chemoradiotherapy used the protocol of the Japan Clinical Oncology Group trial 9906.Approximately 8 mo later,he developed a local recurrence of the ESCC and underwent thoracoscopic salvage esophagectomy followed by reconstruction with a conduit colon graft via a subcutaneous route.Recently,a tumor of the pancreatic body was found on routine follow-up computed tomography(CT).The tumor diameter was 15 mm on CT,and the maximum standardized uptake value of the lesion was 5.49at 18F-2-fluoro-2-deoxy-D-glucose positron-emission tomography,strongly suggesting pancreatic cancer.In addition,all tumor markers were within the reference intervals.Therefore,distal pancreatectomy was performed with the resultant histological diagnosis being confirmed as pancreatic metastasis of the ESCC.He was treated with adjuvant chemotherapy,and there has been no evidence of recurrence 9 mo after the surgery.Resection of pancreatic metastasis offers a good prognosis and should be considered for solitary ESCC metastasis.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v20.i2.593