title: [Concomitant gastric and pancreatic metastases from renal cell carcinoma: case study].
abstract: This report describes the case of a patient who underwent total gastrectomy, splenectomy and pancreatomy corporo-postero as a consequence of gastric and pancreatic metastasis from carcinoma to clear cells, five years after having undergone radical nephrectomy. Upper digestive bleeding was the first symptom, and pancreatic lesion was detected in previous CT scans. There are many documented cases of pancreatic metastasis, but only eight gastric metastasis in the last 15 years, although we did not find reports about surgical treatment for concomitant gastric and pancreatic injury. Surgical treatment which in some reports include highly complex surgeries such as gastrectomies with combined resections of invaded organs and pancreatoduodenectomy, are good options for select cases, because good survival rates have been reported.
authors.affiliation: Servicio de Cirugía de Estómago 3B, Hospital Rebagliati.
authors.forename: Michel
authors.initials: M
authors.lastname: Portanova
authors.forename: Alejandro
authors.initials: A
authors.lastname: Yabar
authors.forename: Emilio
authors.initials: E
authors.lastname: Lombardi
authors.forename: Fernando
authors.initials: F
authors.lastname: Vargas
authors.forename: Víctor
authors.initials: V
authors.lastname: Mena
authors.forename: Ramiro
authors.initials: R
authors.lastname: Carbajal
authors.forename: Néstor
authors.initials: N
authors.lastname: Palacios
authors.forename: Jorge
authors.initials: J
authors.lastname: Orrego
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery; D013274:Stomach Neoplasms / Q000556:secondary* / Q000601:surgery