Results of duodenopancreatectomy for solitary pancreatic metastasis from renal cell carcinoma.
The pancreas is an uncommon site of metastasis from renal cell carcinoma. We present five patients with solitary pancreatic metastasis from renal cell carcinoma located in the head of the pancreas, treated by duodenopancreatectomy. There were no perioperative deaths. Mean survival was 48 months; three patients were alive at the end of the study (at 27, 46, and 88 months, respectively) and two patients died, at 13 and 70 months. The 3- and 5-year survival rates of our patients together with 22 previously reported patients were 86% and 68%, respectively. We advocate aggressive surgical treatment when the metastatic disease is limited to the pancreas.
Tuech
J J
JJ
Department of Digestive Surgery, Angers University Hospital, 4 rue Larrey, Angers 49000, France.
Pessaux
P
P
Chautard
D
D
Rouge
C
C
Binelli
C
C
Bergamaschi
R
R
Arnaud
J P
JP
D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D015996:Survival Rate; D016896:Treatment Outcome