Korean J Thorac Cardiovasc Surg.  2017 Oct;50(5):326-328. 10.5090/kjtcs.2017.50.5.326.

Resection for Pancreatic Cancer Lung Metastases

• Okui M
• Yamamichi
• Asakawa A
• Harada M
• Horio H

• KMID: 2398387
• DOI: http://doi.org/10.5090/kjtcs.2017.50.5.326

Abstract

BACKGROUND
Pancreatic cancer is a highly aggressive solid tumor. Patients with metastases from pancreatic cancer have poor survival rates. Here, we report the outcomes of 6 patients for whom resection of lung metastases was performed after a pancreatectomy to treat pancreatic cancer.
METHODS
We retrospectively reviewed the perioperative clinical data of patients with lung metastases resulting from primary pancreatic cancer who were treated with lung resection between 2008 and 2015. We report 6 cases where lung resection was performed to treat lung metastases after a pancreatectomy.
RESULTS
The number of lung metastases was 1 in 5 cases and 2 in 1 case. The surgical procedures performed to treat the lung metastases included 4 wedge resections and 2 lobectomies. The cell type of the primary tumor and metastases was tubular adenocarcinoma in 5 cases and intraductal papillary-mucinous carcinoma in 1 case. All 6 patients survived with a mean follow-up period of 65.6 months, although the disease recurred in 2 patients.
CONCLUSION
Resection of lung metastases resulting from primary pancreatic cancer may lengthen survival, provided the patient can tolerate surgery.

Keyword

Lung; Metastasis; Pancreatic neoplasms

MeSH Terms

Adenocarcinoma
Follow-Up Studies
Humans
Lung*
Neoplasm Metastasis*
Pancreatectomy
Pancreatic Neoplasms*
Retrospective Studies
Survival Rate