Pancreatic late recurrence of bilateral renal cell carcinoma after conservative surgery.
The appearance of solitary late metastases of renal cell carcinoma has seldom been documented. A female patient, who 13 years previously underwent left radical nephrectomy and right lower polar resection for bilateral simultaneous renal cell carcinoma, presented with a solitary pancreatic metastasis which was successfully treated with pancreaticoduodenectomy. The major points of interest of this report are the occurrence of a primary bilateral tumor, the initial treatment with conservative surgery and the site of late recurrence. The diagnostic and prognostic implications of late metastases of renal tumors are discussed.
Carini
M
M
Department of Urology, University of Florence, Italy.
Selli
C
C
Barbanti
G
G
Bianchi
S
S
Muraro
G
G
D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary; D009392:Nephrectomy; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery; D013997:Time Factors