A Case of Pancreatic Metastasis of Renal Cell Carcinoma

Kunitoshi Nakagawa, Takashi Tsuchiya, Satoshi Momono, Yohei Sasaki, Toshio Sato

Department of Surgery, Sendai Red Cross Hospital

A 63-year-old woman, who received right nephrectomy for a primary renal cell carcinoma 4 years earlier, and received resection of a skin metastasis on the left shoulder 2 years earlier was admitted. In the subsequent clinical course followed by the Department of Urology, multiple solid tumors with a clear borderline in the pancreas were found in the low echographical level. Also by abdominal CT, an image of a tumor markedly enhanced with a contrast agent was observed. Suppressed extension of the pancreatic duct and complete obstruction were revealed by ERP, and multiple diffuse dark-stained features with a clear borderline were revealed by celiac arteriography. From the above findings, pancreatic metastasis of renal cell carcinoma or a primary pancreatic tumor was diagnosed, and total pancreatectomy was performed. In specimens of the resected tissues, multiple tumors with a clear borderline were observed throughout the pancreas. Histologically, the tumors corresponded to renal cell carcinoma and pancreatic metastasis of renal cell carcinoma was diagnosed.

Key words
renal cell carcinoma, pancreatic metastasis

Reprint requests
Kunitoshi Nakagawa Department of Surgery, Sendai Red Cross Hospital
2-43-3 Yagiyamahontyo, Taihakuku, Sendai, 982 JAPAN

Accepted
March 11, 1992

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