A 68-year-old man presented to our hospital with a 1-month history of slowly progressing
altered mental status and gait disturbance. Magnetic resonance imaging and abdominal
computed tomography revealed advanced pancreatic cancer (PC) with brain and para-aortic
lymph node metastases. Gross total resection of the brain metastatic tumor was performed.
Although symptoms improved, the patient died 3 months postoperatively. In general,
the prognosis for PC patients with brain metastasis is very poor. Surgical resection
of brain metastasis may play a very limited role in allowing long-term survival of
patients for whom the primary PC is controlled or with particular oncocytic-type tumors.
Key-words:
Brain metastasis - pancreatic cancer - surgical resection
