Two Resected Cases of Pancreatic Metastases from Renal Cell Carcinoma

Abstract

We report two resected cases of pancreatic metastases from renal cell carcinoma (RCC). Case.1: A 76-year-old man who undergoing the left nephrectomy and was diagnosed as left RCC in 2000. Computed tomography (CT) follow-up in 2009 showed pancreatic tail tumor of 47×38mm in diameter. Distal pancreatectomy with splenectomy was performed. Case.2: A 70-year-old woman who undergoing the left nephrectomy and was diagnosed as left RCC in 2003. Computed tomography (CT) follow up in 2010 showed pancreatic body and tail tumor of 100×60mm in diameter and was suspected that the tumor invaded the posterior gastric wall. Distal pancreatectomy with splenectomy and partial gastrectomy was performed. Two resected specimen were diagnosed as pancreatic metastases from RCC (renal cell carcinoma) in histopathological findings. We found aggressive surgery may be effective in pancreatic metastasis from RCC. So we must keep biological characteristics of RCC in mind in case of deciding on treatment and have life-long follow-up.