Case Report
Copyright ©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Feb 7, 2006; 12(5): 822-824
Published online Feb 7, 2006. doi: 10.3748/wjg.v12.i5.822
Five-year survival following a medial pancreatectomy for an invasive ductal carcinoma from the body of the pancreas
Hideki Abe, Kouichi Tsuneyama, Kazuhiro Tsukada, Masatoshi Makuuchi
Hideki Abe, Masatoshi Makuuchi, Hepatobiliarypancreatic Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Kouichi Tsuneyama, Department of Pathology, Toyama Medical and Pharmaceutical University, Toyama, Japan
Kazuhiro Tsukada, Second Department of Surgery, Toyama Medical and Pharmaceutical University, Toyama, Japan
Correspondence to: Hideki Abe, Hepatobiliarypancreatic Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 1138655 Japan. hidekiab-tky@umin.ac.jp
Telephone: +81-03-3815-5411-30352 Fax: +81-03-5684-3989
Received: January 9, 2005
Revised: August 1, 2005
Accepted: August 3, 2005
Published online: February 7, 2006
Abstract

We report a rare case of a patient who survived for 5 years after undergoing a medial pancreatectomy for invasive ductal carcinoma originating from the body of the pancreas. A 63-year-old woman was diagnosed as a small cancer of the pancreatic body, and surgery was performed. Even though the tumor was a carcinoma, its small size prompted us to perform a medial pancreatectomy with regional lymph nodes dissection. Additional chemoradiation was performed and, five years after surgery, the patient is well with no signs of recurrence. Medial pancreatectomy for invasive ductal carcinoma has not ever been reported. Furthermore, long-term survival after a lumpectomy for invasive ductal carcinoma has never been reported in the literatures. The current case suggests that long-term survival in patients with invasive ductal carcinoma of the pancreas may be associated with the pathological or biological features of pancreatic carcinoma.

Keywords: Ductal carcinoma; Medial pancreatectomy; Pancreatic carcinoma