title: Pancreatic metastases from renal cell carcinoma: a case report and literature review of the clinical and radiological characteristics.
abstract: Metastatic pancreatic cancer is rare, accounting for approximately 2% of all pancreatic malignancies, and most cases arise from renal cell carcinoma. We report the case of a 63-year-old woman, who presented with a pancreatic tumor detected during her annual health examination. She had undergone left nephrectomy 13 years previously for renal cell carcinoma. Computed tomography (CT) revealed two tumors in the head and body of the pancreas, a hypervascular tumor and a hypovascular tumor with an enhanced rim, respectively. She underwent pylorus-preserving pancreaticoduodenectomy, and metastatic pancreatic tumors arising from the kidney with clustered clear cell carcinoma immunohistochemically positive for CD10 were diagnosed. This report presents the different enhancement features of different lesions on CT scans. Because the enhancement features of lesions have been reported to vary according to the size of the metastatic tumor, a knowledge of the history of renal cell carcinoma is crucial for diagnosis.
authors.affiliation: Department of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashi, Utsunomiya 321-0974, Japan. ymailbiz@gmail.com.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Hoshino
authors.forename: Hiroharu
authors.initials: H
authors.lastname: Shinozaki
authors.forename: Yuki
authors.initials: Y
authors.lastname: Kimura
authors.forename: Yohei
authors.initials: Y
authors.lastname: Masugi
authors.forename: Homare
authors.initials: H
authors.lastname: Ito
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Terauchi
authors.forename: Masaru
authors.initials: M
authors.lastname: Kimata
authors.forename: Junji
authors.initials: J
authors.lastname: Furukawa
authors.forename: Kenji
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Ogata
mesh_terms: D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D011183:Postoperative Complications; D011379:Prognosis; D012196:Review Literature as Topic; D014057:Tomography, X-Ray Computed