TITLE:
Long-Term Survival of Resected Pancreatic Carcinoma Which Was Coincidentally Detected at the Occurrence of Incarcerated Inguinal Hernia: A Case Report
AUTHORS:
Shigeru Fujisaki, Motoi Takashina, Ryouichi Tomita, Ken-Ichi Sakurai, Tadatoshi Takayama
KEYWORDS:
Pancreatic Carcinoma, Incarcerated Inguinal Hernia, Long-Term Survival
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.9 No.6,
June
25,
2018
ABSTRACT: Surgical intervention of asymptomatic and
accidentally detected pancreatic carcinoma can prolong survival. A 67-year-old
man with the right incarcerated inguinal hernia was referred to our hospital, he
immediately underwent manipulative treatment followed by hernioplasty
on the next day. Upon the first visit, a pancreatic tumor was accidentally
detected in CT images in the pancreatic tail. About approximately a month,
abdominal CT revealed a slightly developed tumor; accordingly, distal pancreatectomy with lymph node dissection was performed. The
patient was histopathologically diagnosed with tubular adenocarcinoma, and his
final pathological stage was ypT2,
pN0, cM0, Stage Ib, based on the TNM classification of malignant tumors (8th edition).
For postoperative six months, he was treated with adjuvant chemotherapy using
gemcitabine (1000 mg/m2). Remarkably, the patient reported no
recurrence and has been alive for postoperative 7.5 years, thereby attaining
excellent outcomes for accidentally detected pancreatic carcinoma at the occurrence
of an incarcerated inguinal hernia.