title: Pylorus-preserving total pancreatectomy for metastatic renal cell carcinoma: a case report.
abstract: BACKGROUND
  Resectable isolated multiple metastases to the pancreas from renal cell carcinoma are rare. In this report, we describe a patient with multiple metastases of renal cell carcinoma to the pancreas who was treated with pylorus-preserving total pancreatectomy.
  
  
  METHODS
  The patient was a 58-year-old Asian woman who had undergone right nephrectomy for renal cell carcinoma 20 years earlier. In 2008, she was diagnosed with multiple metastases of renal cell carcinoma to the pancreas by abdominal computed tomography during routine follow-up for renal cell carcinoma. (18)F-2-fluoro-2-deoxyglucose positron emission tomography/computed tomography showed no accumulation in her body other than the pancreas. Because of concerns about her quality of life after total pancreatectomy, she underwent pylorus-preserving total pancreatectomy. After the resection, her control of blood sugar and quality of life were generally satisfactory. She died as a result of gastrointestinal bleeding 35 months after undergoing pancreatectomy.
  
  
  CONCLUSIONS
  Pancreatic metastasectomy should be considered, even for multiple metastases, when the primary tumor is renal cell carcinoma and the metastatic lesions are isolated.
authors.affiliation: Department of Surgery, Kansai Medical University, Takii Hospital, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan. kitadeh@takii.kmu.ac.jp.|Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. kitadeh@takii.kmu.ac.jp.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kitade
authors.affiliation: Department of Surgery, Kansai Medical University, Takii Hospital, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan. yanagihi@takii.kmu.ac.jp.|Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. yanagihi@takii.kmu.ac.jp.
authors.forename: Hidesuke
authors.initials: H
authors.lastname: Yanagida
authors.affiliation: Department of Surgery, Kansai Medical University, Takii Hospital, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan. tarokun033@yahoo.com.|Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. tarokun033@yahoo.com.
authors.forename: Masanori
authors.initials: M
authors.lastname: Yamada
authors.affiliation: Department of Surgery, Kansai Medical University, Takii Hospital, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan. matsuurt@takii.kmu.ac.jp.|Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. matsuurt@takii.kmu.ac.jp.
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsuura
authors.affiliation: Department of Surgery, Kansai Medical University, Takii Hospital, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan. yoshiikk@kouri.kmu.ac.jp.|Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. yoshiikk@kouri.kmu.ac.jp.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yoshioka
authors.affiliation: Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. satoi@hirakata.kmu.ac.jp.
authors.forename: Sohei
authors.initials: S
authors.lastname: Satoi
authors.affiliation: Department of Surgery, Kansai Medical University, Takii Hospital, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan. matsui@hirakata.kmu.ac.jp.|Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. matsui@hirakata.kmu.ac.jp.
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Matsui
authors.affiliation: Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. kon@hirakata.kmu.ac.jp.
authors.forename: Masanori
authors.initials: M
authors.lastname: Kon
mesh_terms: D002292:Carcinoma, Renal Cell / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008875:Middle Aged; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery*; D011708:Pylorus