Ann Hepatobiliary Pancreat Surg.  2017 Aug;21(3):176-179. 10.14701/ahbps.2017.21.3.176.

Pancreatic resection for renal cell carcinoma metastasis: a case review

Affiliations
  • 1Department of Surgery, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea. seohi71@hanmail.net
  • 2Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
  • 3Department of Urology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.

Abstract

Renal cell carcinoma (RCC) is the most common type of kidney malignancy. The pancreas is an infrequent site of metastasis in relation to any type of malignancy. However, RCC is one of the tumor types that most frequently metastasize to the pancreas. In this study, we report our experiences with two patients who underwent pancreatic resection for metastatic RCC tumors; of these two patients, one patient had a tumor was a metachronous pancreas-only tumor, and the other patient's tumor was synchronous with hematogenous lung metastasis. Following left-side pancreatic resection, the patients were administered tyrosine kinase inhibitors.

Keyword

Renal cell carcinoma; Metastasis; Pancreas

MeSH Terms

Carcinoma, Renal Cell*
Humans
Kidney
Lung
Neoplasm Metastasis*
Pancreas
Protein-Tyrosine Kinases
Protein-Tyrosine Kinases

Figure

  • Fig. 1 Transabdominal ultrasound shows a well-defined hypoechoic mass in the body of the pancreas (arrow) (A). T2-weighted magnetic resonance imaging (MRI) shows a well-defined mass with heterogeneous signal intensity in the body of the pancreas (arrow) (B).

  • Fig. 2 Macroscopic appearance of the resected specimen.

  • Fig. 3 Axial (A) and coronal (B) contrast-enhanced computed tomography scan images show a well-defined homogeneously enhanced mass in the tail of the pancreas (arrow). A heterogeneously enhanced mass with central necrosis was also detected in the right kidney (*), suggesting renal cell carcinoma.


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