title: [A case study of pulmonary and pancreatic metastasis from primary renal cell carcinoma more than ten years after nephrectomy].
abstract: A 73-year-old man, who had a left nephrectomy for renal cell carcinoma at the age of 58, visited our hospital for the treatment of 2 right lung tumors. Both tumors were resected. Immunopathology showed that one of these was a metastatic tumor from renal cell carcinoma, and the other was a primary lung adenocarcinoma. Four years later, a follows-up computed tomography showed a hypervascular nodule in the body of the pancreas. Distal pancreatectomy and spleenectomy were performed, and histopathological analysis revealed that the tumor was a metastasis from renal cell carcinoma. Three months after surgery, multiple liver metastases were discovered, and molecular-targeted therapy was started. If a distant metastasis from renal cell carcinoma can be resected completely, it has been reported that a good long-term prognosis can be expected. Therefore, postoperative long-term follow-up after resection of the renal cell carcinoma is essential, and if possible, the resection of metastasis should be considered.
authors.affiliation: Dept. of Gastroenterological Surgery, Saitama Cancer Center, Japan.
authors.forename: Toshiro
authors.initials: T
authors.lastname: Ogura
authors.forename: Katsumi
authors.initials: K
authors.lastname: Amikura
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Akiyama
authors.forename: Youji
authors.initials: Y
authors.lastname: Nishimura
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Kawashima
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Sakamoto
authors.forename: Yuu
authors.initials: Y
authors.lastname: Nishimura
authors.forename: Masafumi
authors.initials: M
authors.lastname: Kurosumi
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Tanaka
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery; D013997:Time Factors