腎細胞癌すい頭部転移切除後残すい再発に対し残すい全摘を施行した1例  [in Japanese] REPEATED PANCREATECTOMY FOR RECURRENT METASTATIC RENAL CELL CARCINOMA IN THE REMNANT PANCREAS AFTER PYLORUS-PRESERVING PANCREATODUODENECTOMY  [in Japanese]

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Abstract

腎細胞癌膵転移切除後の残膵再発に対し残膵全摘術を施行した1例を経験した.症例は56歳,男性. 1993年2月左腎細胞癌にて腎摘出術, 1995年12月膵頭部転移に対し膵頭十二指腸切除術を受け経過観察中, 2001年7月残膵に再発を疑われ当科紹介された.腹部CTで残膵体尾部と右腎に腫瘍陰影を,腹部血管造影では残膵に腫瘍濃染像を認めた. 2001年7月残膵全摘,脾摘術を, 9月右腎部分切除術を施行した.術後,病理組織学的に膵,腎ともに転移性腎細胞癌と診断した.術後経過は良好で, 2年6月経過した現在まで再発徴候は認めない.残膵に再発した腎細胞癌でも積極的な切除が予後の改善につながると考えられた.

We report a case of resection of repeated pancreatic metastasis of renal cell carcinoma (RCC) in the remnant pancreas 5 years and 6 months after pylorus-preserving pancreatoduodenectomy (PPPD). A 56-year-old man underwent left nephrectomy for RCC in February 1993 and PPPD for pancreatic RCC metastasis in December 1995. In July 2001, he was referred with remnant pancreatic tumors and a right renal tumor seen on abdominal CT. Celiac angiography showed a hypervascular tumor in the remnant pancreas. The remnant pancreas was resected with splenectomy in July 2001 and the right kidney partially resected in September 2001. All tumors were histologically diagnosed as clear cell RCC metastasizing to the remnant pancreas and the right kidney. The postoperative course was uneventful and the man remains well with no evidence of recurrence in the 2 years and 6 months since surgery.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 65(4), 1068-1071, 2004

    Japan Surgical Association

Codes

  • NII Article ID (NAID)
    130003432845
  • Text Lang
    JPN
  • ISSN
    1345-2843
  • Data Source
    J-STAGE 
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