fig2

Figure 2. CT chest showing isolated pulmonary metastases initially diagnosed (A) 98 months after curative resection of PDAC and then (B) 108 months after curative resection of PDAC, showing that the nodule increased in size. The patient underwent wedge resection and received gemcitabine-based adjuvant chemotherapy for 6 months. The patient remained asymptomatic and tumor-free for a total of 4 years since last pulmonary metastasectomy[40]. CT: computed tomography; PDAC: pancreatic ductal adenocarcinoma