Case Report of a Pancreatic and Gallbladder Metastasis from Renal Cell Carcinoma 17 Years after a Nephrectomy

Kazuhisa Shirai, Shinji Fukata, Tadashi Ito, Ryuzo Yamaguchi, Hiroo Mukaiyama and Michihiko Narita¹⁾

Department of Surgery and Pathology¹⁾, Kamo Hospital

A 72-year-old woman was refered to our clinic for the treatment of a pancreas tumor. Examination of the lesion by angiography and abdominal computed tomography showed a tumor stain in the pancreas and gallbladder. We diagnosed the lesion as an islet cell tumor of the pancreas head and a tumor of the gallbladder. The patient underwent a pyrolus-preserving pancreatoduodenectomy. The postoperative course was uneventful. Histological examination of the resected specimens showed clear cell carcinoma, which was the same type as a renal cell carcinoma resected 17 years earlier. The patient has not shown any further signs of recurrence for two years.

Key words
renal cell carcinoma, gallbladder metastasis, pancreas metastasis

Reprint requests
Kazuhisa Shirai Division of Surgical Oncology, Department of Surgery, Nagoya University, Graduate School of Medicine 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550 JAPAN

Accepted
April 30, 2003

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