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Journal of Medical Case Reports

, 9:212

First Online: 16 September 2015Received: 29 November 2014Accepted: 13 July 2015DOI: 10.1186-s13256-015-0654-0

Cite this article as: Kitade, H., Yanagida, H., Yamada, M. et al. J Med Case Reports 2015 9: 212. doi:10.1186-s13256-015-0654-0

Abstract

IntroductionResectable isolated multiple metastases to the pancreas from renal cell carcinoma are rare. In this report, we describe a patient with multiple metastases of renal cell carcinoma to the pancreas who was treated with pylorus-preserving total pancreatectomy.

Case presentationThe patient was a 58-year-old Asian woman who had undergone right nephrectomy for renal cell carcinoma 20 years earlier. In 2008, she was diagnosed with multiple metastases of renal cell carcinoma to the pancreas by abdominal computed tomography during routine follow-up for renal cell carcinoma. F-2-fluoro-2-deoxyglucose positron emission tomography-computed tomography showed no accumulation in her body other than the pancreas. Because of concerns about her quality of life after total pancreatectomy, she underwent pylorus-preserving total pancreatectomy. After the resection, her control of blood sugar and quality of life were generally satisfactory. She died as a result of gastrointestinal bleeding 35 months after undergoing pancreatectomy.

ConclusionsPancreatic metastasectomy should be considered, even for multiple metastases, when the primary tumor is renal cell carcinoma and the metastatic lesions are isolated.

KeywordsMetastasis Pancreas Pylorus-preserving total pancreatectomy Renal cell carcinoma AbbreviationsCTComputed tomography

DPTPDuodenum-preserving total pancreatectomy

FDG-PET-CTF-2-fluoro-2-deoxyglucose positron emission tomography-computed tomography

IL-2Interleukin-2

MRIMagnetic resonance imaging

PPTPPylorus-preserving total pancreatectomy

RCCRenal cell carcinoma

TPTotal pancreatectomy

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Autor: Hiroaki Kitade - Hidesuke Yanagida - Masanori Yamada - Takashi Matsuura - Kazuhiko Yoshioka - Sohei Satoi - Yoichi Matsui -

Fuente: https://link.springer.com/







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