2017 Volume 32 Issue 6 Pages 912-919
Pancreatic metastasis is an uncommon and rare event for kidney cancer. However, it is said that despite being very few in number, the occurrence of any metastasis in pancreas originates primarily from kidney cancer.
The recurrence period in many reported cases is more than 10 years and long-term follow-up is necessary. We experienced 5 cases of resected pancreatic metastasis from renal cell carcinoma between 2008 and 2015. Of these, 3 cases consisted of multiple metastases. In all cases, dynamic CT showed high density tumors, which were enhanced in the early phase. We performed a radical surgery in all cases. Two of three cases received segmental pancreatectomies to preserve the pancreas as much as possible, and one of the multiple metastasis was total a pancreatectomy with total gastrectomy. There are various surgical options for the management of multiple pancreatic metastases. Some reports recommended, total pancreatectomy while others recommended segmental pancreatectomy. Careful consideration should be given when deciding the appropriate surgical course of action since preservation of organ function is essential.
