Radiofrequency ablation of liver metastases in a patient with pancreatic cancer and long-term survival:A case report  

作　　者：Jin-Peng Yong Xiao-Yan Mu Chao-Feng Zhou Ke-Ke Zhang Jie-Qiong Gao Zhi-Zhong Guo Shi-Fan Zhou Zhen Ma 

机构地区：[1]Department of Oncology,The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan Province,China [2]Department of Oncology,Longhua Hospital Affiliated with Shanghai University of Traditional Chinese Medicine,Shanghai 20001,China [3]Department of Neurology,The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan Province,China [4]Department of Oncology,Henan Hospital of Traditional Chinese Medicine,Zhengzhou 450000,Henan Province,China

出　　处：《World Journal of Clinical Cases》2025年第20期27-34,共8页世界临床病例杂志(英文)

摘　　要：BACKGROUND According to the GLOBCAN2022 database,pancreatic cancer has become the 6th leading cause of cancer-related death worldwide.The latest statistics suggest that the incidence of pancreatic cancer is increasing at a rate of 0.5%to 1.0%per year,and it is expected to become the 2nd leading cause of tumor-related deaths in the United States by 2030.More than 50%of pancreatic cancer patients have already developed distant metastases at the time of diagnosis,with the liver being the most common site.Patients with pancreatic cancer with liver metastasis(PCLM)have a worse prognosis than those with locally progressed pancreatic cancer,with a median survival of less than six months.Therefore,the outcome of liver metastases is often a vital determinant of the prognosis of patients with PCLM.There are few successful cases of localized treatment for PCLM patients.Our department recently performed local radiofrequency ablation(RFA)treatment for a PCLM patient through an evidence-based medicine approach,with remarkable therapeutic effects.CASE SUMMARY The patient was admitted to the hospital on May 03,2018,3 weeks after pancreatic cancer surgery.In October 2017,the patient presented with lower back pain.No abnormalities were detected via computed tomography(CT),colonoscopy,or gastroscopy.However,on March 18,2018,the patient was investigated in a foreign hospital via CT,which suggested occupational lesions in the descending part of the duodenum,and magnetic resonance imaging suggested pancreatic occupancy.He was considered to be suffering from pancreatic cancer.He underwent laparoscopic-assisted pancreatic+duodenum+superior mesenteric vein partial resection and reconstruction under general anesthesia on March 26,2018 at The Affiliated Hospital of Xuzhou Medical University.The pancreas and duodenum were partially resected.Postoperative pathology showed adenocarcinoma of the pancreas(moderately differentiated),partly mucinous carcinoma,invading the mucosal layer of the duodenum;the tumor size was 4.5 cm×4 cm×4 cm.There w

关 键 词：Radiofrequency ablation Pancreatic cancer Liver metastasis Case report 

分 类 号：R735.9[医药卫生—肿瘤]