Successful resection of a liver metastasis from AFP-producing pancreatic cancer resulting in long-term survival: a case report and review of literature.

Abstract:

:The prognosis of patients with alpha-fetoprotein (AFP)-producing pancreatic cancer is generally very poor. We, however, present a case of a 33-year-old man who survived AFP-producing pancreatic cancer and its metachronous liver metastasis. The patient had undergone a curative total pancreatectomy for AFP-producing pancreas head cancer invading to the tail, which was postoperatively confirmed by immunohistochemical staining of the resected specimen. At 1 year and 4 months after the operation, the serum AFP level was elevated to 26 ng/mL, and a 2.6 cm-sized mass was found in the lateral segment of the liver. He underwent lateral segmentectomy, and the tumor was histopathologically diagnosed as having metastasized from the AFP-producing pancreatic cancer removed earlier. The patient is doing well 8 years and 5 months after resecting the liver metastasis, with no signs of recurrence. This case suggests that surgery may also be a treatment of choice for patients with liver metastasis from AFP-producing pancreatic cancer, particularly for those with a metachronous and solitary tumor. It should be remembered that some pancreatic cancers produce AFP and that monitoring of postoperative serum AFP levels in such cases will be useful for early detection of recurrence and selection of appropriate surgical intervention.

journal_name

Pancreas

journal_title

Pancreas

authors

Natsume T,Watanabe Y,Maruyama T,Tanaka H,Sunouchi K,Tohma T,Noju M,Muto Y,Tohnosu N,Uehara T,Shimizu S,Ochiai T,Nabeya Y

doi

10.1097/01.mpa.0000179727.15716.82

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

416-9

issue

4

eissn

0885-3177

issn

1536-4828

pii

00006676-200511000-00018

journal_volume

31

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • Treatment of duct carcinoma of the pancreas with the LH-RH analogue buserelin.

    abstract::Thirty-six patients (21 male, 15 female) with ductal pancreatic cancer were treated with the long-acting synthetic luteinizing hormone releasing hormone (LH-RH) analogue buserelin. All patients had advanced tumor stages (stage II: 7 patients; stage III: 11 patients; stage IV: 18 patients). A monthly follow-up includin...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199209000-00002

    authors: Friess H,Büchler M,Krüger M,Beger HG

    更新日期:1992-01-01 00:00:00

  • Involvement of lipid peroxidation in free fatty acid-induced isolated rat pancreatic acinar cell injury.

    abstract::It was reported that free fatty acids degraded from triglycerides by lipase may play a major role in acute necrotizing or hyperlipidemia-induced pancreatitis. We hypothesized that this injury may be related to the peroxidation of cell membrane phospholipids and tested this hypothesis using isolated pancreatic acini. P...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199811000-00009

    authors: Morita Y,Yoshikawa T,Takeda S,Matsuyama K,Takahashi S,Yoshida N,Clemens MG,Kondo M

    更新日期:1998-11-01 00:00:00

  • The natural history of hereditary chronic pancreatitis: a study of 12 cases compared to chronic alcoholic pancreatitis.

    abstract::The aim of this study was to document the natural history of chronic hereditary pancreatitis and to compare its evolution to that of chronic alcoholic pancreatitis. Twelve subjects with chronic hereditary pancreatitis were followed up for a mean duration of 15.8 years (range, 1-23) and compared to subjects with chroni...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199810000-00007

    authors: Paolini O,Hastier P,Buckley M,Maes B,Demarquay JF,Staccini P,Bellon S,Caroli-Bosc FX,Dumas R,Delmont J

    更新日期:1998-10-01 00:00:00

  • Mechanistic analysis of pancreatic ductal carcinogenesis in hamsters.

    abstract::In this article, we introduce our rapid-production model for pancreatic duct adenocarcinomas and describe the mechanisms of pancreatic duct carcinogenesis so far elucidated in Syrian golden hamsters. It is evident that a series of histogenetic steps are involved, leading from hyperplasia through atypical hyperplasia t...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/00006676-199804000-00015

    authors: Konishi Y,Tsutsumi M,Tsujiuchi T

    更新日期:1998-04-01 00:00:00

  • Comparative study of antibacterial activity of pancreatic juice in six mammalian species.

    abstract::A comparative study of antibacterial activity of pancreatic juice was conducted on six mammalian species. Pancreatic juice collections were conducted as acute (rabbit, guinea pig, rat) and chronic (pig, sheep, cattle) experiments, in the former before and after stimulation [cholecystokinin (CCK) and secretin] and in t...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199309000-00003

    authors: Pierzynowski SG,Sharma P,Sobczyk J,Garwacki S,Barej W,Weström B

    更新日期:1993-09-01 00:00:00

  • Management of a malignant case of solid pseudopapillary tumor of pancreas: a case report and literature review.

    abstract::Solid pseudopapillary tumor of the pancreas is a rare neoplasm with low malignant potential, which affects predominantly young females. Only approximately 10% to 15% cases of solid pseudopapillary tumors (SPTs) are malignant. We present the case of a 57-year-old woman who developed malignant SPT of the pancreas. Meanw...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/MPA.0b013e31824d52c7

    authors: Ji S,Xu J,Zhang B,Xu Y,Liu C,Long J,Ni Q,Yu X

    更新日期:2012-11-01 00:00:00

  • Regulation of cyclic AMP levels in guinea pig pancreatic ducts and cultured duct epithelial monolayers.

    abstract::Pancreatic duct bicarbonate secretion is mediated primarily by secretin-induced elevation of intracellular cyclic AMP, although little is known of the effects of other physiological regulators on pancreatic duct cyclic AMP metabolism. We investigated the effects of secretin and several other potential agonists on cycl...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199510000-00008

    authors: de Ondarza J,Hootman SR

    更新日期:1995-10-01 00:00:00

  • Chronic pancreatitis is associated with hyperhomocysteinemia and derangements in transsulfuration and transmethylation pathways.

    abstract:OBJECTIVES:Homocysteine has been implicated in vascular dysfunction and thrombosis, as well as inflammatory conditions. This study was aimed to find out whether chronic pancreatitis (CP) is associated with hyperhomocysteinemia and derangements of transmethylation and transsulfuration pathways. METHODS:We estimated hom...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/mpa.0b013e3181bc0f85

    authors: Girish BN,Vaidyanathan K,Rao NA,Rajesh G,Reshmi S,Balakrishnan V

    更新日期:2010-01-01 00:00:00

  • Down-regulation of Bax-interacting factor 1 in human pancreatic ductal adenocarcinoma.

    abstract:OBJECTIVE:Bax-interacting factor 1 (Bif-1) protein plays a critical role in apoptosis, mitochondrial morphogenesis, and autophagy, and its loss promotes tumorigenesis. The role of Bif-1 in pancreatic cancer has not been studied. METHODS:We determined Bif-1 expression in 82 human pancreatic ductal adenocarcinomas (PDCs...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318205eb03

    authors: Coppola D,Helm J,Ghayouri M,Malafa MP,Wang HG

    更新日期:2011-04-01 00:00:00

  • Safety and preliminary clinical activity of a novel pancreatic enzyme preparation in pancreatic insufficient cystic fibrosis patients.

    abstract:OBJECTIVES:Currently available pancreatic enzyme products are crude porcine products with few data available regarding their efficacy, safety, and manufacture. We conducted a phase 1 study of a novel pancreatic enzyme product, TheraCLEC-Total (TCT), a proprietary formulation of microbial-derived lipase, protease, and a...

    journal_title:Pancreas

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.mpa.0000202952.10612.21

    authors: Borowitz D,Goss CH,Stevens C,Hayes D,Newman L,O'Rourke A,Konstan MW,Wagener J,Moss R,Hendeles L,Orenstein D,Ahrens R,Oermann CM,Aitken ML,Mahl TC,Young KR Jr,Dunitz J,Murray FT

    更新日期:2006-04-01 00:00:00

  • Nomogram for Estimating Overall Survival in Patients With Metastatic Pancreatic Cancer.

    abstract:OBJECTIVES:This analysis investigated nomogram use to evaluate metastatic pancreatic cancer prognosis. METHODS:Thirty-four baseline factors were examined in the Metastatic Pancreatic Adenocarcinoma Clinical Trial (MPACT) (nab-paclitaxel plus gemcitabine vs gemcitabine) data set. Factors significantly (P < 0.1) associa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001563

    authors: Goldstein D,Von Hoff DD,Chiorean EG,Reni M,Tabernero J,Ramanathan RK,Botteman M,Aly A,Margunato-Debay S,Lu B,Louis CU,McGovern D,Lee CK

    更新日期:2020-07-01 00:00:00

  • A population-based evaluation of severity and mortality among transferred patients with acute pancreatitis.

    abstract:OBJECTIVES:This study aimed to compare severity of acute pancreatitis (AP) and mortality rates between transferred and nontransferred patients and to determine the factors that influence the decision to transfer. METHODS:A retrospective analysis coding a statewide administrative database in Maryland was conducted. Sev...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000179

    authors: Anand G,Hutfless SM,Akshintala VS,Khashab MA,Lennon AM,Makary MA,Hirose K,Andersen DK,Kalloo AN,Singh VK

    更新日期:2014-10-01 00:00:00

  • Coagulation, platelets, and acute pancreatitis.

    abstract::Acute pancreatitis generates a complex cascade of immunological events that affect the pathogenesis and the progression of this disease. Several inflammatory mediators seem to play a critical role in the pathogenesis of pancreatitis and the subsequent inflammatory response. In turn, these mediators can influence hemos...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/01.mpa.0000240617.66215.d2

    authors: Kakafika A,Papadopoulos V,Mimidis K,Mikhailidis DP

    更新日期:2007-01-01 00:00:00

  • Measures of Dietary Fat and Energy Absorption in Healthy Adults.

    abstract:OBJECTIVES:Existing reference ranges for stool fat and energy absorption were developed using subjects in controlled environments on precise diets. This study measured energy and fat absorption in healthy, community-dwelling adults eating a moderate-to-high fat American diet via stool- and serum-based methods. METHODS...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001587

    authors: Bashaw H,Brownell JN,Schall JI,Stallings VA

    更新日期:2020-07-01 00:00:00

  • Highly selective inhibition of inducible nitric oxide synthase ameliorates experimental acute pancreatitis.

    abstract:OBJECTIVES:Inducible nitric oxide synthase (iNOS) activity is increased in experimental acute pancreatitis. The aim of this study was to evaluate treatment with the selective iNOS inhibitors AR-C (AR-C102222AA) and L-NIL (L-N6-(1-iminoethyl)-lysine) in experimental acute pancreatitis. METHODS:Acute pancreatitis was in...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:

    authors: Sandstrom P,Brooke-Smith ME,Thomas AC,Grivell MB,Saccone GT,Toouli J,Svanvik J

    更新日期:2005-01-01 00:00:00

  • Histopathologic correlation of endoscopic ultrasound findings of chronic pancreatitis in human autopsies.

    abstract:OBJECTIVES:To provide histologic correlation of endoscopic ultrasound (EUS) findings believed to represent chronic pancreatitis (CP). METHODS:Eighteen postmortem pancreatic specimens in patients dying of all causes were examined in vitro by EUS for features of CP: (1) echogenic foci, (2) hypoechoic foci, (3) echogenic...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181b2bc1a

    authors: Bhutani MS,Arantes VN,Verma D,Moezzi J,Suryaprasad S,Kapadia AS,Gopalswamy N

    更新日期:2009-10-01 00:00:00

  • Detection of Reg3γ by Immunohistochemistry in Cerulein-Induced Model of Acute Pancreatic Injury in Mice and Rats.

    abstract:OBJECTIVE:In a continuation of previous work, Reg3γ protein was further evaluated as a biomarker of pancreatic injury using immunohistochemistry in an additional species. METHODS:Mice and rats were treated with intraperitoneal cerulein injections, creating acute pancreatic injury. Mice received 2, 4, or 6 doses, and r...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001382

    authors: Shea K,Rouse R

    更新日期:2019-09-01 00:00:00

  • Hypothetical progression model of pancreatic cancer with origin in the centroacinar-acinar compartment.

    abstract:OBJECTIVES:Based mainly on animal models, 2 lesions have been suggested as possible precursors of pancreatic ductal adenocarcinoma (PDAC): pancreatic intraepithelial neoplasia (PanIN) and tubular complexes (TCs). The aim of the study was to find support for either of the 2 models through the analysis of a large panel o...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/mpa.0b013e31805d0190

    authors: Esposito I,Seiler C,Bergmann F,Kleeff J,Friess H,Schirmacher P

    更新日期:2007-10-01 00:00:00

  • Distributional patterns of phospholipase C isozymes in rat pancreas.

    abstract::Phospholipase C (PLC) isozymes are believed to play a role in regulating pancreatic exocrine and endocrine secretion. In an attempt to investigate the role of PLC, we examined the distribution patterns of PLC isozymes in the normal rat pancreas by Western blot analysis and immunohistochemistry. Western blot analysis w...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200101000-00008

    authors: Kim MJ,Lee KH,Min DS,Yoon SH,Hahn SJ,Kim MS,Jo YH

    更新日期:2001-01-01 00:00:00

  • Type 1 and Type 2 Autoimmune Pancreatitis: Distinctive Clinical and Pathological Features, But Are There Any Differences at Magnetic Resonance? Experience From a Referral Center.

    abstract:OBJECTIVES:This study aimed to evaluate magnetic resonance imaging findings of autoimmune pancreatitis (AIP) and to find radiological patterns that could differentiate type 1 and type 2 AIP. METHODS:Eighty-four patients with diagnosis of AIP were enrolled. Image analysis included pancreatic signal intensity abnormalit...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001142

    authors: Negrelli R,Boninsegna E,Avesani G,Zamboni GA,Brozzi L,Frulloni L,Manfredi R,Pozzi Mucelli R

    更新日期:2018-10-01 00:00:00

  • Effect of prolonged ethanol intake on pancreatic lipids in the rat pancreas.

    abstract::Although fat accumulation in acinar cells is the earliest histopathological change in the pancreas of patients and experimental animals, there are few long-term studies regarding lipid composition of the pancreas in alcoholism. In the present study, female Sprague-Dawley rats were divided into three groups each fed Wa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199007000-00005

    authors: Simsek H,Singh M

    更新日期:1990-07-01 00:00:00

  • Interleukin-6 is a useful marker for early prediction of the severity of acute pancreatitis.

    abstract::Twelve patients with acute pancreatitis admitted to our department between January 1993 and December 1994 were studied prospectively and classified into two groups (severe group, five patients; mild group, seven patients), according to the criteria for grading severity of acute pancreatitis proposed by the Research Co...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199701000-00001

    authors: Inagaki T,Hoshino M,Hayakawa T,Ohara H,Yamada T,Yamada H,Iida M,Nakazawa T,Ogasawara T,Uchida A,Hasegawa C,Miyaji M,Takeuchi T

    更新日期:1997-01-01 00:00:00

  • Metamizol Relieves Pain Without Interfering With Cerulein-Induced Acute Pancreatitis in Mice.

    abstract:OBJECTIVES:Animal models are essential to understand the pathogenesis of acute pancreatitis (AP) and to develop new therapeutic strategies. Although it has been shown that cerulein-induced AP is associated with pain in experimental animals, most experiments are carried out without any pain-relieving treatment because r...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000483

    authors: Stumpf F,Algül H,Thoeringer CK,Schmid RM,Wolf E,Schneider MR,Dahlhoff M

    更新日期:2016-04-01 00:00:00

  • Recovery of pancreatic tissue perfusion and ATP tissue level after reperfusion in canine pancreas grafts preserved by the two-layer method.

    abstract::We examined whether pancreas grafts preserved by the two-layer method maintained adenine nucleotides pool as substrates for ATP synthesis before reperfusion and had the ability to recover pancreatic tissue perfusion and synthesize ATP promptly after reperfusion. After preservation by the two-layer cold storage method ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199704000-00011

    authors: Kim Y,Kuroda Y,Tanioka Y,Matsumoto S,Fujita H,Sakai T,Hamano M,Suzuki Y,Ku Y,Saitoh Y

    更新日期:1997-04-01 00:00:00

  • Early hemodynamic variables and outcome in severe acute pancreatitis: a retrospective single-center cohort study.

    abstract:OBJECTIVES:The aim of this study was to assess the association of hemodynamic factors with 90-day mortality in critically ill patients with severe acute pancreatitis (SAP). METHODS:One hundred fifty-nine consecutive patients with SAP admitted to the intensive care units between January 2005 and December 2008 were incl...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318264c9f7

    authors: Wilkman E,Kaukonen KM,Pettilä V,Kuitunen A,Varpula M

    更新日期:2013-03-01 00:00:00

  • Analysis of K-ras codon 12 point mutations using duodenal lavage fluid for diagnosis of pancreatic carcinoma.

    abstract::We evaluated the diagnostic significance of the K-ras point mutations at codon 12 in duodenal lavage fluid (DLF) compared with pure pancreatic juice (PPJ). The DLF was easily and safely collected by injecting distilled water into the duodenum and then aspirating through the working channel of the endoscope during endo...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199903000-00004

    authors: Nakamura Y,Onda M,Uchida E

    更新日期:1999-03-01 00:00:00

  • Significant increase of serum high-mobility group box chromosomal protein 1 levels in patients with severe acute pancreatitis.

    abstract:OBJECTIVE:Multiple organ failure because of systemic inflammatory response in the early phase and sepsis in the late phase is the main contributor to high mortality in severe acute pancreatitis (SAP). High-mobility group box chromosomal protein 1 (HMGB1) was recently identified as a potent proinflammatory mediator and ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000236741.15477.8b

    authors: Yasuda T,Ueda T,Takeyama Y,Shinzeki M,Sawa H,Nakajima T,Ajiki T,Fujino Y,Suzuki Y,Kuroda Y

    更新日期:2006-11-01 00:00:00

  • Pancreatic carcinoma associated with chronic calcifying pancreatitis in Taiwan: a case report and review of the literature.

    abstract::A 62-year-old Chinese woman suffering from pancreatic carcinoma coexisting with chronic calcifying pancreatitis is reported. Ultrasonography and computed tomography disclosed multiple intraductal calcifications in the pancreatic head and body and a tumor at the tail. Laparotomy revealed cancerous peritonitis in additi...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/00006676-198802000-00020

    authors: Lin JT,Wang TH,Chen DS,How SW,Lai MY,Chen JC,Sung JL

    更新日期:1988-01-01 00:00:00

  • Dynamic aspects of granulocyte activation in rat severe acute pancreatitis.

    abstract::We demonstrated dynamic aspects of granulocyte activation in rat severe acute pancreatitis, which was induced by cerulein and aggravated following lipopolysaccharide (LPS) injection. Pancreatitis induced by cerulein increased intracellular elastase activity of granulocytes in the blood. However, significant systemic c...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200308000-00004

    authors: Kimura Y,Hirota M,Okabe A,Inoue K,Kuwata K,Ohmuraya M,Ogawa M

    更新日期:2003-08-01 00:00:00

  • Increasing incidence of acute pancreatitis at an American pediatric tertiary care center: is greater awareness among physicians responsible?

    abstract:OBJECTIVES:Studies show an increased incidence of adult acute pancreatitis (AP) in recent decades. The aim was to review pediatric AP incidence. METHODS:Retrospective review of computerized databases at the Children's Hospital of Pittsburgh from 1993 to 2004. The International Classification of Diseases, Ninth Revisio...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181baac47

    authors: Morinville VD,Barmada MM,Lowe ME

    更新日期:2010-01-01 00:00:00