title: [Pancreatic metastasis from renal cell carcinoma 25 years after radical nephrectomy].
abstract: We report a case of pancreatic metastasis from renal cell carcinoma detected 25 years after radical nephrectomy. A 74-year-old man, who had undergone radical nephrectomy for renal cell carcinoma at age 49, was found by computed tomography to have a strongly enhanced mass on the pancreatic head. The patient underwent pancreaticoduodenectomy and the pathological diagnosis was metastatic renal cell carcinoma. This was evidently a slow growing tumor because the metastatic pancreas tumor was well demarcated and the metastasis was found 25 years after the primary operation. Aggressive surgical treatment of isolated metastatic lesions offers a chance of long-term survival. Patients with a history of RCC should undergo a long-term follow-up to detect and evaluate metastasis to pancreas as well as other organs.
authors.affiliation: The Department of Urology, Yokosuka Kyosai Hospital, Japan.
authors.forename: Tetsuhiro
authors.initials: T
authors.lastname: Yokonishi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Ito
authors.forename: Kimito
authors.initials: K
authors.lastname: Osaka
authors.forename: Atsushi
authors.initials: A
authors.lastname: Komiya
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Naoki
authors.initials: N
authors.lastname: Sakai
authors.forename: Sumio
authors.initials: S
authors.lastname: Noguchi
authors.forename: Hiroichi
authors.initials: H
authors.lastname: Kishi
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Satomi
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Mogaki
authors.forename: Yukio
authors.initials: Y
authors.lastname: Tsuura
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Mizuno
authors.forename: Ichirou
authors.initials: I
authors.lastname: Ikeda
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000473:pathology*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D009392:Nephrectomy; D010190:Pancreatic Neoplasms / Q000556:secondary*; D013997:Time Factors