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Online edition:ISSN 2434-3404

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A case of multiple pancreatic metastases from thyroid papillary carcinoma treated by total pancreatectomy *

 This report is based on a case of multiple pancreatic metastases from thyroid papillary carcinoma, treated by a total pancreatectomy. Four years previously a 50-year-old male patient had a total thyroidectomy with cervical lymph nodes dissection for thyroid papillary carcinoma. In March 2009, FDG-PET/CT showed two pancreatic tumors. In July 2009, he developed acute pancreatitis due to the enlargement of these pancreatic tumors. In June 2010, he then developed duodenal stenosis due to the aforementioned pancreatic tumors. FDG-PET/ CT showed the enlargement of three pancreatic tumors in the head, body, and the tail of the pancreas. The total pancreatectomy, with lymph node dissection and splenectomy was then performed. Post operation, the patient’s blood sugar levels were controlled by insulin injections. After 36 weeks, he developed brain metastasis. Fifty-five weeks after the total pancreatectomy the patient died of brain metastasis. Therefore, the surgical treatment of metastatic pancreatic tumors might be one of the alternatives for patients with metastatic thyroid papillary carcinoma. (Accepted on July 30, 2012)

Author
Urakami A, et al
Volume
38
Issue
4
Pages
211-217
DOI
10.11482/2012/KMJ38(4)211-217,2012.pdf

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