title: Surgical excision of duodenal/pancreatic metastatic renal cell carcinoma.
abstract: Renal cell carcinoma (RCC) has a potential to metastasize to almost any site and this may occur many years following nephrectomy. We present six cases with uncommon sites of metastasis: four patients presented with distal pancreatic metastasis and two with duodenal/head of the pancreas metastasis. Time to metastatic disease varied from 1 to 19 years following renal surgery. For patients are alive and two succumbed to their disease. Long-term survival can be achieved with aggressive surgical excision of disease.
authors.affiliation: Surgical Oncology Division, Karmanos Cancer Institute , Detroit, MI , USA ; Cayetano Heredia, Peruvian University , Lima , Peru.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Espinoza
authors.affiliation: Surgical Oncology Division, Karmanos Cancer Institute , Detroit, MI , USA.
authors.forename: Ali
authors.initials: A
authors.lastname: Hassani
authors.affiliation: Medical Oncology Division, Karmanos Cancer Institute , Detroit, MI , USA.
authors.forename: Ulka
authors.initials: U
authors.lastname: Vaishampayan
authors.affiliation: Department of Pathology, Karmanos Cancer Institute , Detroit, MI , USA.
authors.forename: Dongping
authors.initials: D
authors.lastname: Shi
authors.affiliation: Department of Urology, Karmanos Cancer Institute , Detroit, MI , USA.
authors.forename: J Edson
authors.initials: JE
authors.lastname: Pontes
authors.affiliation: Surgical Oncology Division, Karmanos Cancer Institute , Detroit, MI , USA.
authors.forename: Donald W
authors.initials: DW
authors.lastname: Weaver
keywords: metastatic disease; nephrectomy; renal cell carcinoma; renal surgery