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Review Case Reports
[Pancreatic metastasis from clear cell renal carcinoma: a clinical case].
- Franco Roviello, Giacomo Nastri, Lizart Hako, Daniele Marrelli, Alfonso De Stefano, Tommaso Cioppa, and Enrico Pinto.
- Unità Operativa di Chirurgia Oncologica, Università degli Studi di Siena.
- Chir Ital. 2002 Nov 1; 54 (6): 873-7.
AbstractRenal cell carcinoma rarely metastasizes to the pancreas. In this report we describe a case of late pancreatic metastases in a seventy-year-old woman, surgically treated 21 years before for renal clear-cell carcinoma. Preoperative staging revealed the presence of four pancreatic lesions. A distal pancreatectomy and splenectomy were performed, and the postoperative period was complication-free. Histopathological analysis revealed metastases from renal clear-cell carcinoma. This case shows that in patients operated on for renal clear-cell carcinoma we have to consider the possibility of late metastases to the pancreas. Therefore, these patients should be submitted to long-term follow-up. In keeping with the current literature, we advocate aggressive surgical treatment in pancreatic metastases from renal clear-cell carcinoma.
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