title: [Diagnosis and treatment of isolated pancreatic metastases from renal clear cell carcinoma: Report of a case and review of literature].
abstract: BACKGROUND
  The development of pancreatic metastases in renal carcinoma is very uncommon. The aim of the paper is to present a clinical case of this disease and review the clinical presentation, diagnosis, and treatment.
  
  
  METHODS
  A case is presented of a 72-year-old female, with a history of renal carcinoma in the right kidney treated by total nephrectomy. At follow-up, in a radiological control, a suspicious metastatic pancreatic lesion was detected. A distal pancreatectomy with splenectomy was performed, and histopathology confirmed the origin as metastatic renal cancer.
  
  
  CONCLUSIONS
  Pancreatic metastases from renal cancer are very rare, and are usually diagnosed in the monitoring the primary cancer (because most of them are asymptomatic). The treatment for isolated resectable pancreatic metastases without extra-pancreatic extension is surgical resection.
authors.affiliation: Servicio de Cirugía General, Hospital do Salnés, Área de Gestión Integrada Pontevedra-Salnés, Vilagarcia de Arousa, (Pontevedra), España. Electronic address: lucasgarciamayor@gmail.com.
authors.forename: Ricardo Lucas
authors.initials: RL
authors.lastname: García-Mayor Fernández
authors.affiliation: Servicio de Urgencias, Complejo Hospitalario Universitario de Orense, Orense, España.
authors.forename: María
authors.initials: M
authors.lastname: Fernández-González
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D009392:Nephrectomy; D018358:Neuroendocrine Tumors / Q000175:diagnosis; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D011379:Prognosis; D013156:Splenectomy; D014057:Tomography, X-Ray Computed
keywords: Cáncer de riñón; Distal pancreatectomy with splenectomy; Kidney cancer; Metástasis pancreática; Pancreatectomía distal con esplenectomía; Pancreatic metastases