부산대학교 도서관

Recent advances of treatment for esophageal and lung cancer have contributed to the prolongation of survival for these cancer patients. Therefore, a second cancer after resection for these cancers has become troublesome. We experienced one case with cancers of the esophagus, pulmonary and pancreas. This case was a 71-year-old patient who underwent esophagectomy for esophageal cancer and right upper lobectomy for lung cancer, concurrently. Nine years after surgery, CT scan and magnetic resonance cholangio-pancreaticography showed a cystic lesion on the pancreatic head. This lesion was clinically diagnosed as a in-traductal papillary adenocarcinoma of the pancreas. The major problem in surgery was preservation of feed-ing artery of the gastric roll used for reconstruction of esophago-gastrostomy after esophagectomy.Pancreato-duodenectomy was successfully performed and its right gastroepiploic artery was preser-vated. In Japan, patient with second cancer following treatment of primary esophageal or pulmonary can-cer have increased. Intensive observation for follow-up period may be necessary for early detection of second cancer and for improvement of the prognosis for such patients.