Abstract
We report a case of multiple renal cell carcinoma metastases treated via a total pancreatectomy. A 59-year-old woman had a right nephrectomy for renal cell carcinoma 14 years prior. There was no recurrence postoperatively. In April 2008, abdominal CT-scan showed multiple pancreatic tumors with enhancement. These were diagnosed as multiple metastases to the pancreas from the renal cell carcinoma A total pancreatectomy, with lymph node discection (D1) and splenectomy, was performed. After the operation, the patient's blood sugar levels were controled by insulin injections ; she is doing well 10 months after the operation. The surgical treatment of metastatic renal cell carcinoma pancreatic lesions should improve the patient's prognosis.
