A Case of Repeated Pancreatectomy for Recurrent Metastatic Renal Cell Carcinoma in the Remnant Pancreas after Distal Pancreatectomy

Abstract

Resected pancreatic metastasis of renal cell carcinoma (RCC) has been recently reported, but a standard treatment for pancreatic metastasis of RCC has not yet been determined. We report a case of resected repeated pancreatic metastasis of RCC in a remnant pancreas 4 years after distal pancreatectomy (PD). A 54-year-old man underwent a right nephrectomy for RCC, and 4 years later, he underwent a distal pancreatectomy for pancreatic metastasis. After 1 year, a metastatic tumor was detected in the remnant pancreas and he underwent a total pancreatectomy. The recurrence was detected in the liver and retroperitoneal cavity and he underwent chemotherapy. Now 4 years after the total pancreatectomy, he remains well. We suppose that good prognosis can be provided by surgical therapy against recurrent pancreatic metastasis of RCC.