Solitaly Pancreatic Metastasis from Renal Cell Carcinoma

Yoshihiko Osaka, Hiroyuki Kato, Fumitaka Nakamura, Tetsuyuki Okubo, Shunichi Okushiba, Eiji Shimozawa, Takeshi Okayasu, Tatsuzo Tanabe, Tomohiko Koyanagi*, Takayuki Nozawa¹⁾, Kazuaki Inoue¹⁾

Department of Surgery II, Department of Urology*, Hokkaido University School of Medicine
Department of Pathology, Hokkaido University Hospital¹⁾

Metastases from renal cell carcinoma (RCC) to the lungs, liver and bone are commonly recognized, but the pancreas is an uncommon site. We experienced a patient who underwent right radical nephrectomy for renal cell carcinoma. Two and 4 years later the patient underwent surgery for bilateral metastatic lung tumor. Six years later metastases to the left lung and pancreas from RCC were found, and removed. Only 22 cases of resection of metastases from RCC have been reported in the literature. Most of the reported cases showed some symptoms, while only 3 cases, including this one, had no symptoms. Evaluation of the whole body is important while following patients with advanced cancer. Chemotherapy and the radiation therapy are not effective for the metastases to the pancreas from RCC. Therefore, metastatic nodules should be resected aggressively

Key words
renal cell carcinoma, metastatic pancreatic tumor

Reprint requests
Yoshihiko Osaka Department of Surgery II, Hokkaido University School of Medicine
Kita l4-Nishi 5, Kitaku, Sapporo, 060 JAPAN

Accepted
October 13, 1993

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