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Int J Clin Exp Med 2013;6(9):828-831
Case Report
Metachronous pancreatic head ductal carcinoma three years after resection of
gallbladder cancer
Dingwei Chen, Jiafei Yan, Yiping Mou
Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang
Province, China
Received August 18, 2013; Accepted September 15, 2013; Epub September 25, 2013; Published September 30, 2013
Abstract: We report a rare case of female patient with metachronous gallbladder cancer and pancreatic head ductal carcinoma. At the
age of 53 years, the patient underwent a cholecystectomy and resection of the liver bed for gallbladder cancer. The post-operation
diagnosis was a well-differentiated adenocarcinoma with serosa involvement (T3N0M0, stage IIA). Three years later, an irregular and
enhanced 2.4 cm mass in the pancreatic head with obviously pancreatic duct dilated was found by abdominal imaging. We considered
it as pancreatic head cancer and performed pancreaticoduodenectomy. The histological diagnosis was a pancreatic ductal carcinoma
(T2N0M0, stage I). No recurrence was found after thirty-three months follow up. (IJCEM1308020).
Keywords: Metachronous, multiple primary cancers, gallbladder cancer, pancreatic cancer
Address correspondence to: Dr. Yiping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine,
Zhejiang University, 3 East Qingchun Road, Hangzhou 310016, Zhejiang Province, China. Tel: +86-571-86006445; Fax:
+86-571-86044817; E-mail: m13588052900@163.com
