title: [Resection of Pancreatic Metastasis from Renal Cell Carcinoma 21 Years after Nephrectomy].
abstract: We report a case where resection was performed for pancreatic metastasis from renal cell carcinoma 21 years after nephrectomy. A 72-year-old man had undergone total gastrectomy with distal pancreatomy and splenectomy for gastric cancer, and right nephrectomy for primary renal cell carcinoma in 1993. Incidentally, a CT scan performed in 2014 revealed a tumor in the head of the pancreas. Enhanced MRI suggested that the tumor contained some fat tissue. The tumor in the pancreatic body had sharp margins; therefore, we performed subtotal pancreatectomy. The tumor was considered pancreatic metastasis from renal cell carcinoma. Pathological findings indicated clear-cell type carcinoma(G1-G2), which is very similar to renal cell carcinoma. We diagnosed pancreatic metastasis from renal cell carcinoma. The patient has remained well, with no recurrence 20 months after the pancreatectomy.
authors.affiliation: Dept. of Surgery, Shuuwa General Hospital.
authors.forename: Tomiyuki
authors.initials: T
authors.lastname: Miura
authors.forename: Noriaki
authors.initials: N
authors.lastname: Nakamura
authors.forename: Kousuke
authors.initials: K
authors.lastname: Ogawa
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Kouji
authors.initials: K
authors.lastname: Yonekura
authors.forename: Takahiro
authors.initials: T
authors.lastname: Sanada
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kuwabara
authors.forename: Narihide
authors.initials: N
authors.lastname: Goseki
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000556:secondary* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome