Journal of Gastrointestinal Surgery

, Volume 23, Issue 2, pp 377–378 | Cite as

Pancreatic Metastasis from Endometrial Carcinoma

  • Susanne GhandiliEmail author
  • Jan Bardenhagen
  • Jakob Robert Izbicki
GI Image
A 77-year-old woman was admitted to our hospital for further diagnostic exploration of an unclear pancreatic tumor. Fourteen days earlier, the patient developed upper abdominal pain and vomiting. In the year 1995, at the age of 54 years, the patient was diagnosed with breast cancer and resected in the context of a breast-conserving therapy, followed by adjuvant radiotherapy and treated with tamoxifen for at least 5 years. In addition, at the age of 73 years, the patient was diagnosed with an endometrial carcinoma (TNM stage: pT1a, pNx, pMx, L1, V0, Pn0, R0, G3). First, a laparoscopic total hysterectomy with bilateral adexectomy was performed. Based on the histological evidence of an endometrial carcinoma of the papillary serous type, the recommendation for secondary pelvic lymphadenectomy and adjuvant radiochemotherapy was given, but refused by the patient. Eight months after the primary resection, evidence of tumor recurrence in the vaginal stump was observed. Therefore, a vaginal...


Pancreatic metastasis Endometrial carcinoma Pancreatic surgery 


  1. 1.
    Crippa S, Angelini C, Mussi C, Bonardi C, Romano F, Sartori P, et al. Surgical treatment of metastatic tumors to the pancreas: a single center experience and review of the literature. World J Surg. 2006;30(8):1536–42.CrossRefGoogle Scholar
  2. 2.
    Possinger K, Regierer AC, Eucker J. Facharztwissen Hämatologie, Onkologie. 4. Auflage ed. xxix, 1115 Seiten p.Google Scholar
  3. 3.
    Whipple AO. Radical surgery in the treatment of cancer. Ann Surg. 1950;131(6):812–23.CrossRefGoogle Scholar
  4. 4.
    DeWitt J, Jowell P, Leblanc J, McHenry L, McGreevy K, Cramer H, et al. EUS-guided FNA of pancreatic metastases: a multicenter experience. Gastrointest Endosc. 2005;61(6):689–96.CrossRefGoogle Scholar
  5. 5.
    Reddy S, Edil BH, Cameron JL, Pawlik TM, Herman JM, Gilson MM, et al. Pancreatic resection of isolated metastases from nonpancreatic primary cancers. Ann Surg Oncol. 2008;15(11):3199–206.CrossRefGoogle Scholar
  6. 6.
    Sperti C, Pasquali C, Liessi G, Pinciroli L, Decet G, Pedrazzoli S. Pancreatic resection for metastatic tumors to the pancreas. J Surg Oncol. 2003;83(3):161–6; discussion 6.CrossRefGoogle Scholar
  7. 7.
    Winter JM, Cameron JL, Campbell KA, Arnold MA, Chang DC, Coleman J, et al. 1423 pancreaticoduodenectomies for pancreatic cancer: A single-institution experience. J Gastrointest Surg. 2006;10(9):1199–210; discussion 210–1.CrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2018

Authors and Affiliations

  • Susanne Ghandili
    • 1
    Email author
  • Jan Bardenhagen
    • 1
  • Jakob Robert Izbicki
    • 1
  1. 1.Department of General, Visceral and Thoracic SurgeryUniversity Hospital Hamburg-EppendorfHamburgGermany

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