Recurrent metachronous metastatic multifocal renal cell carcinoma to the pancreas

Renal cell carcinoma (RCC) metastatic to the pancreas may present synchronously or years after the initial diagnosis. In the absence of more widespread disease, surgical extirpation is recommended and is often associated with long-term survival. Most patients present with isolated metastases, with t...

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Bibliographic Details
Published in:The American surgeon 2007-04, Vol.73 (4), p.407-409
Main Authors: LOGUE, Alicia J, BEHRMAN, Stephen W
Format: Article
Language:English
Subjects:
Biological and medical sciences
Breast cancer
Carcinoma, Renal Cell - secondary
Carcinoma, Renal Cell - surgery
General aspects
Humans
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Kidneys
Male
Medical sciences
Middle Aged
Mortality
Nephrectomy
Nephrology. Urinary tract diseases
Pancreatectomy
Pancreatic Neoplasms - secondary
Pancreatic Neoplasms - surgery
Patients
Physical examinations
Surveillance
Time Factors
Tumors of the urinary system
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Description
Summary:Renal cell carcinoma (RCC) metastatic to the pancreas may present synchronously or years after the initial diagnosis. In the absence of more widespread disease, surgical extirpation is recommended and is often associated with long-term survival. Most patients present with isolated metastases, with the vast majority of the literature pertaining to this select group. Multifocal metastases and recurrent metastatic disease after previous surgical resection of the pancreas for RCC have been less well described. Most often, surgery has been performed in these latter populations, although data with respect to long-term survival remains incomplete. Despite the use of routine CT, multifocal disease is often discovered unexpectedly at the time of surgical exploration or on final pathologic analysis, and diagnostic strategies to improve recognition of this entity have been incompletely assessed. Management of recurrent metastatic and multifocal RCC to the pancreas within the context of the existing literature is suggested.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480707300421