Author(s)

Shigeru Fujisaki^1*, Motoi Takashina¹, Ryouichi Tomita², Ken-Ichi Sakurai³, Tadatoshi Takayama⁴

¹Department of Surgery, Fujisaki Hospital, Tokyo, Japan.
²Department of Surgery, Nippon Dental University, Tokyo, Japan.
³Division of Breast and Endocrine Surgery, Nihon University School of Medicine, Tokyo, Japan.
⁴Division of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan.

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.

Pancreatic Carcinoma, Incarcerated Inguinal Hernia, Long-Term Survival

Fujisaki, S. , Takashina, M. , Tomita, R. , Sakurai, K. and Takayama, T. (2018) Long-Term Survival of Resected Pancreatic Carcinoma Which Was Coincidentally Detected at the Occurrence of Incarcerated Inguinal Hernia: A Case Report. Journal of Cancer Therapy, 9, 516-521. doi: 10.4236/jct.2018.96042.