Resection of Pancreatic Metastasis from Renal Cell Carcinoma 21 Years after Nephrectomy
Miura, T.; Nakamura, N.; Ogawa, K.; Watanabe, Y.; Yonekura, K.; Sanada, T.; Kuwabara, H.; Goseki, N.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 43(12): 2187-2189
2016
ISSN/ISBN: 0385-0684 PMID: 28133264 Document Number: 686937
We report a case where resection was performed for pancreatic metastasis from renal cell carcinoma 21 years after nephrectomy. A 72-year-old man had undergone total gastrectomy with distal pancreatomy and splenectomy for gastric cancer, and right nephrectomy for primary renal cell carcinoma in 1993. Incidentally, a CT scan performed in 2014 revealed a tumor in the head of the pancreas. Enhanced MRI suggested that the tumor contained some fat tissue. The tumor in the pancreatic body had sharp margins; therefore, we performed subtotal pancreatectomy. The tumor was considered pancreatic metastasis from renal cell carcinoma. Pathological findings indicated clear-cell type carcinoma(G1-G2), which is very similar to renal cell carcinoma. We diagnosed pancreatic metastasis from renal cell carcinoma. The patient has remained well, with no recurrence 20 months after the pancreatectomy.