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Solitary pancreatic renal cell carcinoma metastasis
Author(s) -
Miguel Nogueira,
Sílvia Costa Dias,
Ana Catarina Silva,
João Correia Pinto,
J Rodríguez Machado
Publication year - 2018
Publication title -
autopsy and case reports
Language(s) - English
Resource type - Journals
ISSN - 2236-1960
DOI - 10.4322/acr.2018.023
Subject(s) - medicine , sunitinib , renal cell carcinoma , pancreaticoduodenectomy , nephrectomy , pancreas , radiology , metastasis , positron emission tomography , tyrosine kinase inhibitor , pancreatic disease , carcinoma , kidney , cancer
Pancreatic metastases are rare; they account for only 2% of all pancreatic malignancies and usually occur when associated with a disseminated metastatic disease. Solitary pancreatic metastases are even less frequent, and there are few reports regarding surgical resection. We report the case of a 77-year-old female patient diagnosed with a single cephalo-pancreatic metastasis of renal cell carcinoma, 16 years after a total nephrectomy. The patient underwent successful pancreaticoduodenectomy, and the diagnosis was confirmed. A subsequent positron emission tomography (PET) scan showed disease relapse, and tyrosine kinase inhibitor treatment with sunitinib was initiated. After 1 year and 4 months, the PET-computed tomography scan showed a complete radiologic response.

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