Resection of Pancreatic Metastasis from Renal Cell Carcinoma and an Early Gastric Cancer

  • Matsutani Takeshi
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Sasajima Koji
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Miyamoto Masayuki
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Yokoyama Tadashi
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Maruyama Hiroshi
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Yanagi Ken
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Matsuda Akihisa
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Kashiwabara Moto
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Suzuki Seiji
    Department of Surgery, Nippon Medical School Tama Nagayama Hospital
  • Tajiri Takashi
    Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School

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抄録

An 81-year-old woman, who had undergone left radical nephrectomy for renal cell carcinoma 17 years previously, was found to have a mass approximately 5cm in diameter in the body of the pancreas and an early gastric cancer. The patient was suspected of having pancreatic metastasis from renal cell carcinoma and an early gastric cancer and underwent distal pancreatectomy, splenectomy, and distal gastrectomy. Histologic examination showed that the pancreatic tumor was a clear cell renal cell carcinoma that had metastasized to the body of the pancreas and that the gastric cancer was a well-differentiated adenocarcinoma that had invaded the mucosa. Twenty months after the operation, the patient was well, without any evidence of recurrence. Renal cell carcinoma metastatic to the pancreas with gastric cancer rarely occurs, and surgical resection might have improved the quality of life in this patient. Careful long-term follow-up is necessary for patients who have undergone surgery for renal cell carcinoma.<br>

収録刊行物

  • 日医大誌

    日医大誌 75 (1), 41-45, 2008

    日本医科大学医学会

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