[Pancreatic metastasis from clear cell renal carcinoma: a clinical case].
Renal cell carcinoma rarely metastasizes to the pancreas. In this report we describe a case of late pancreatic metastases in a seventy-year-old woman, surgically treated 21 years before for renal clear-cell carcinoma. Preoperative staging revealed the presence of four pancreatic lesions. A distal pancreatectomy and splenectomy were performed, and the postoperative period was complication-free. Histopathological analysis revealed metastases from renal clear-cell carcinoma. This case shows that in patients operated on for renal clear-cell carcinoma we have to consider the possibility of late metastases to the pancreas. Therefore, these patients should be submitted to long-term follow-up. In keeping with the current literature, we advocate aggressive surgical treatment in pancreatic metastases from renal clear-cell carcinoma.
Roviello
Franco
F
Unità Operativa di Chirurgia Oncologica, Università degli Studi di Siena.
Nastri
Giacomo
G
Hako
Lizart
L
Marrelli
Daniele
D
De Stefano
Alfonso
A
Cioppa
Tommaso
T
Pinto
Enrico
E
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000556:secondary*