title: A case report of a solitary pancreatic metastasis of an adrenocortical carcinoma.
abstract: BACKGROUND
  Solitary metastases to the pancreas are rare. Therefore the value of resection in curative intention remains unclear. In the literature there are several promising reports about resection of solitary metastasis to the pancreas mainly of renal origin.
  
  
  METHODS
  Here we report for the first time on the surgical therapy of a 1.5 cm solitary pancreatic metastasis of an adrenocortical carcinoma. The metastasis occurred almost 6 years after resection of the primary tumor. A partial pancreatoduodenectomy was performed and postoperatively adjuvant mitotane treatment was initiated. During the follow-up of 3 years after surgery no evidence of tumor recurrence occurred.
  
  
  CONCLUSIONS
  Resection of pancreatic tumors should be considered, even if the mass is suspicious for metastatic disease including recurrence of adrenocortical cancer.
authors.affiliation: Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital Wuerzburg, Wuerzburg, Germany. baur_j@ukw.de.
authors.forename: Johannes
authors.initials: J
authors.lastname: Baur
authors.affiliation: Institute of Radiology, University Hospital Wuerzburg, Wuerzburg, Germany.
authors.forename: Ulla
authors.initials: U
authors.lastname: Schedelbeck
authors.affiliation: Department of Internal Medicine I, Endocrinology, University Hospital Wuerzburg, Wuerzburg, Germany.
authors.forename: Alina
authors.initials: A
authors.lastname: Pulzer
authors.affiliation: Department of Nuclear Medicine, University Hospital Wuerzburg, Wuerzburg, Germany.
authors.forename: Christina
authors.initials: C
authors.lastname: Bluemel
authors.affiliation: Comprehensive Cancer Center Mainfranken, University of Wuerzburg, Wuerzburg, Germany.|Institute of Pathology, University Wuerzburg, Wuerzburg, Germany.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Wild
authors.affiliation: Department of Internal Medicine I, Endocrinology, University Hospital Wuerzburg, Wuerzburg, Germany.|Comprehensive Cancer Center Mainfranken, University of Wuerzburg, Wuerzburg, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Fassnacht
authors.affiliation: Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital Wuerzburg, Wuerzburg, Germany.
authors.forename: U
authors.initials: U
authors.lastname: Steger
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000473:pathology*; D018268:Adrenocortical Carcinoma / Q000556:secondary* / Q000601:surgery*; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D008875:Middle Aged; D008939:Mitotane / Q000627:therapeutic use; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D010179:Pancreas / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery*; D016577:Pancreaticoduodenectomy
chemical_list: D018931:Antineoplastic Agents, Hormonal; D008939:Mitotane