-Case Reports-

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

Takeshi Matsutani^1,2, Koji Sasajima^1,2, Masayuki Miyamoto^1,2, Tadashi Yokoyama^1,2, Hiroshi Maruyama^1,2, Ken Yanagi^1,2, Akihisa Matsuda^1,2, Moto Kashiwabara^1,2, Seiji Suzuki² and Takashi Tajiri¹

¹Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School
²Department of Surgery, Nippon Medical School Tama Nagayama Hospital

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 5 cm 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.

J Nippon Med Sch 2008; 75: 41-45

Keywords
pancreatic metastasis, renal cell carcinoma, gastric cancer

Correspondence to
Takeshi Matsutani, MD, Department of Surgery, Nippon Medical School, Tama Nagayama Hospital, 1-7-1 Nagayama, Tama, Tokyo 206-8512, Japan
matsutani@nms.ac.jp

Received, September 27, 2007
Accepted, December 3, 2007