Two Resected Cases of Multiple Pancreatic Metastasis from Renal Cell Carcinoma

Masanari Matsumoto, Kimihiko Kusashio, Tsuyoshi Tsukamoto, Masaki Oshida, Jyun Yasutomi, Takahiro Kasagawa, Satosi Fukutomi, Masaru Suzuki, Katashi Fukao and Masaru Miyazaki*

Department of Surgery, Chiba Rosai Hospital
Department of General Surgery, Graduate School of Medicine, Chiba University*

We report two resected cases of pancreatic metastasis from renal cell carcinoma. Case 1; A 59-years-old man who undergoing a left nephrectomy in May 1992 was diagnosed with left renal carcinoma. Ultrasonographic (US) follow up in 1999 showed several pancreatic tumors. Size and number had not changed in July 2000, he underwent a pylorus-preserving pancreaticoduodenectomy in August 2000. In July 2001, US and computed tomography (CT) showed tumors in the remnant pancreas, necessitating pancreatectomy and splenectomy in October 2002. The man remains without recurrence in December 2006. Case 2; A 65-years-old woman undergoing right nephrectomy in December 1995 and diagnosed with right renal carcinoma was admitted for back pain in June 2005. Based on pancreatic metastasis with multiple lesions from renal cell carcinoma, she underwent total pancreatectomy and splenectomy in August 2005. She remains alive without recurrence in December 2006. We found aggressive surgery to be effective in pancreatic metastasis from renal cell carcinoma.

Key words
pancreatic metastasis, renal cell carcinoma, total pancreatectomy

Reprint requests
Masanari Matsumoto Department of Surgery, Chiba Rosai Hospital
Tatsumidaihigashi, Ichihara, 290-0003 JAPAN

Accepted
March 28, 2007

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