The reported cases of patients surviving five years after radical pancreaticoduodenectomy for carcinoma of the head of the pancreas are rare.* Certainly there are some patients who have survived for this period or longer whose cases have not yet been published, and reports of these cases might lend stimulus to radical operations for this disease. The merit of reporting these cases has been noted by Orr.7The following previously unpublished report concerns a patient with carcinoma of the head of the pancreas and involvement of lymph nodes who has remained healthy throughout an eight-year period. REPORT OF A CASE A 59-year-old white retired rancher registered at the Mayo Clinic complaining of increased stomach trouble, loss of weight, and jaundice. Six years prior to his admission indigestion developed in the form of midepigastric distress occurring two to three hours after meals; ingestion of food gave relief. The clinical impression was