Table 2.
Localisation of primary tumor, site of metastasis, TNM-staging, type of surgery, and survival of 20 patients with M1-pancreatic adenocarcinoma.
| No. | Primary tumor | Site of metastasis | TNM | R | Type of surgery | Survival (mo) | Status |
|---|---|---|---|---|---|---|---|
| 1 | Pancreatic tail | Liver segment 5 and 6, peritoneum | T3N0M1 | R2 | Distal pancreatectomy, tumor debulking | 5.3 | Dead |
| 2 | Pancreatic head | Liver (multifocal), peritoneum, mesocolon transversum | T3N1M1 | R2 | pp-Whipple | 21.3 | Dead |
| 3 | Pancreatic body | Liver segment 2/3, peritoneum, stomach, mesocolon transversum, diaphragm | T3N1M1 | R0 | Distal pancreatic resection, gastrectomy, left hemicolectomy, liver segment 2/3 | 2.6 | Dead |
| 4 | Pancreatic head | Liver segment 2/3, peritoneum | T3N1M1 | R2 | Whipple procedure, gastrectomy, right hemicolectomy | 15.2 | Dead |
| 5 | Pancreatic head | Liver segment 3 | T3N1M1 | R0 | pp-Whipple, atyp. liver segment 3 | 9.3 | Dead |
| 6 | Pancreatic tail | Peritoneum, ovary, infiltration of stomach, colon transversum and left kidney | T4N1M1 | R2 | Distal pancreatectomy, 2/3 gastric resection, left hemicolectomy, left nephrectomy, left adrenalectomy | 5.1 | Dead |
| 7 | Pancreatic body | Liver segment 3,5, infiltration of stomach and celiac trunk | T3N1M1 | R0 | Distal pancreatectomy, subtotal gastric resection, liver resection seg. 3 + 5 | 10.6 | Dead |
| 8 | Pancreatic head | Omentum majus | T3N0M1 | R0 | Whipple-procedure, partial portal vein resection, omentectomy | 20.6 | Dead |
| 9 | Pancreatic head | Liver segment 4b | T3N1M1 | R0 | pp-Whipple, liver segment 4b | 37.8 | Alive |
| 10 | Pancreatic body | Liver segment 3, 4b, 5, peritoneum, portal vein and pylorus infiltration | T3N1M1 | R1 | Pancreatectomy, 2/3 gastric resection, atypical liver resection, partial portal vein resection | 10.6 | Dead |
| 11 | Pancreatic head | Liver segment 2, 3, 4 | T3N1M1 | R2 | pp-Whipple, Biopsy segment 3 | 6.8 | Dead |
| 12 | Pancreatic body | Liver bilobar | T3N1M1 | R2 | Distal pancreatic resection, liver segment 3 and 7 | 23.7 | Alive |
| 13 | Pancreatic head | Liver segment 3 | T3N1M1 | R0 | pp-Whipple, atypical liver segment 3 | 11 | Dead |
| 14 | Papilla | Diffuse lymph node metastases | T3N1M1 | R0 | pp-Whipple, lymph node resection | 18,2 | Dead |
| 15 | Pancreatic tail | Stomach infiltration | T3N0M1 | R0 | Distal pancreatic resection, gastric resection | 25.6 | Dead |
| 16 | Pancreatic tail | Liver bilobar, Stomach infiltration | T3N0M1 | R2 | Distal pancreatic resection, gastric resection | 14.3 | Alive |
| 17 | Pancreatic head | Liver segment 4 a + b | T3N1M1 | R0 | pp-Whipple, atypical liver resection | 12.5 | |
| 18 | Pancreatic tail | Liver segment 5 + 8, metastasis stomach, infiltration of left adrenal and splenic artery | T3N1M1 | R2 | Distal pancreatic resection, left adrenalectomy, gastric resection | 10.5 | Dead |
| 19 | Pancreatic head | Infiltration of stomach and portal vein | T3N1M1 | R0 | Pancreatectomy, 2/3-gastric resection, portal vein resection | 14.1 | Dead |
| 20 | Papilla | Liver segment 3 + 4a | T4N1M1 | R2 | pp-Whipple, liver segment 3, 4a | 8 | Dead |
(1) pp-Whipple: pylorus-preserving pancreaticoduodenectomy.