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June 1979

Ductal Carcinoma of the PancreasRationales for Total Pancreatectomy

Author Affiliations

From the Departments of Surgery (Drs Matsui, Aoki, Ishikawa, and Iwanaga) and Pathology (Drs Wada and Tateishi), the Center for Adult Diseases, and the Department of Second Surgery (Dr Kosaki), Osaka University Medical School Osaka, Japan.

Arch Surg. 1979;114(6):722-726. doi:10.1001/archsurg.1979.01370300076013

• In order to evaluate total pancreatectomy as a surgical procedure for ductal carcinoma of the pancreas, a histopathological analysis was made on 18 resected specimens with special regard to the pattern of cancer growth in the pancreatic tissue. In five of them, there was no lymphatic involvement or extrapancreatic invasion, but cancer extended continuously to the tail along with the pancreatic ducts and reached the end of the ducts in three cases. All 11 patients treated with Whipple's procedure died of recurrence, while of four total pancreatectomized patients, one with continuously invasive cancer to the end of the pancreatic duct has been living more than eight years postoperatively. We believe that total pancreatectomy for this type of "intraductal spreading cancer" without invasion beyond the pancreas is indicated as a radical procedure.

(Arch Surg 114:722-726, 1979)