Abstract
We report a case of pancreatic metastases from renal cell carcinoma 19 years after nephrectomy. A 74-year-old man underwent a right nephrectomy in 1986. Nineteen years later, he was admitted to our hospital with a pancreatic tumor. Abdominal CT and angiography demonstrated multiple hypervascular tumors at the pancreatic body and tail. Magnetic resonance cholangiopancreatography showed abrupt occlusion of the main pancreatic duct. Pancreatic metastasis from renal cell carcinoma was suspected, and a distal pancreatectomy and splenectomy were performed in 2005. Histological examination confirmed it to be clear cell type renal cell carcinoma that had metastasized to the pancreas. The patient is doing well 11 months after the second operation. We think that resection of the pancreas for metastatic lesions from renal cell carcinoma could improve the prognosis.
