Abstract
We have successfully resected metastatic lesions in the lung and pancrease 11 years after a radical operation for a renal cancer.
A 64-year-old woman, who was underobservation after a left nephrectomy for renal cell carcinoma in 1984, was pointed out having a tumor shadow in the right lower lung field on a chest-ray film in November, 1995. Abdominal CT was conducted for the purpose of the general exploration, and a tumor about 35mm in the longer diameter which was internally heterogenous and ill-defined was detected in the pancreatic body. With a suspicion of pancreatic tumor and metastatic lung tumor, the patient was operated on.
Histopathologically, the both lesions were darified to be metstases to the pancreas and lung from th 11-year previous renal cell carcinoma. There has been no sign of recurrence and the patient is doingwell, as of 10 months after operation. Renal cell carcinomas can cause delayed and distant metastasis after radical operation, and hense strict post operative obsevation of clinical course including the adjacent organ, the pancreas, is necessary. As to the metastatic foci of the pancreas, a better prognosis can be expected by surgical resection, but its precise inducation would demand further investigation.
