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Solitary pancreatic metastasis from a primary colonic tumor detected by PET scan

Report of a case


PURPOSE: A case of a solitary pancreatic metastasis from a primary colonic carcinoma is reported. METHODS: The history and use of carcinoembryonic antigen, computed tomography, and positron emission tomography in this case and the follow-up of colorectal cancer are reviewed. RESULTS: Recurrent disease was suspected by an increasing carcinoembryonic antigen level. However, conventional imaging with computed tomography on more than one occasion failed to identify any recurrence. The pancreatic metastasis was accurately localized by positron emission tomography scanning and confirmed on subsequent laparotomy. A histologically complete resection was performed and the patient remained in remission with a normal carcinoembryonic antigen 12 months postoperatively. CONCLUSION: This case reports an unusual site of solitary metastasis in colorectal cancer and supports the further investigation of positron emission tomography in follow-up of colorectal cancer.

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  1. 1.

    Gilbert JM. Distribution of metastases at necropsy in colorectal cancer. Clin Exp Metastasis 1983;1:97–101.

  2. 2.

    Patanaphan V, Salazar OM. Colorectal cancer: metastatic patterns and prognosis. South Med J 1993;86:38–41.

  3. 3.

    Tornqvist A, Ekelund G, Leandoer L. The value of intensive follow-up after curative resection for colorectal carcinoma. Br J Surg 1982;69:725–8.

  4. 4.

    Yano T, Hara N, Ichinose Y, Yokoyama H, Miura T, Ohta M. Results of pulmonary resection of metastatic colorectal cancer and its application. J Thorac Cardiovasc Surg 1993;106:875–9.

  5. 5.

    Sato H, Tsuchiya A, Nomizu T,et al. The neurosurgical management of brain metastasis from colorectal cancer: a report of three cases. Surg Today 1993;23:639–43.

  6. 6.

    Rosen M, Chan L, Beart RW Jr, Vukasin P, Anthone G. Follow-up of colorectal cancer: a meta-analysis. Dis Colon Rectum 1998;41:1116–26

  7. 7.

    Beets G, Penninckx F, Schiepers C,et al. Clinical value of whole-body positron emission tomography with [18F]fluorodeoxyglucose in recurrent colorectal cancer. Br J Surg 1994;81:1666–70.

  8. 8.

    Ogunbiyi OA, Flanagan FL, Dehdashti F,et al. Detection of recurrent and metastatic colorectal cancer: comparison of positron emission tomography and computed tomography. Ann Surg Oncol 1997;4:613–20.

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Correspondence to Mr. A. Muti Abulafi M.S..

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Tutton, M.G., George, M., Hill, M.E. et al. Solitary pancreatic metastasis from a primary colonic tumor detected by PET scan. Dis Colon Rectum 44, 288–290 (2001).

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Key words

  • Colonic neoplasm
  • Tomography
  • Emission-computed
  • Neoplasm recurrence
  • Pancreas
  • Tomography
  • X-ray computed