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Unusual course of secondary pancreatic carcinoma

Publication at Central Library of Charles University, First Faculty of Medicine |
2005

Abstract

The vast majority of pancreatic carcinomas are primary adenocarcinomas. Metastasis to the pancreas is uncommon.

The most common tumors that involve pancreas secondarily are carcinomas of pulmonary and gastrointestinal origin. We report the case of a 72-years male in whom a solitary tumour was found 6 years after nefrectomy.

The patient underwent partial pancreatectomy and splenectomy. Histologic examination revealed a metastatic renal cell carcinoma.

Pancreatic metastases of renal cell carcinoma are rare. The interval between primary resection and metastases may be quite long (5-15 years).

Patients with pancreatic metastases may present with various gastrointestinal complaints. Only 50% is asymptomatic in time of its diagnosis.

Surgical resection is the treatment of choice.