Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 4, Issue 4, pp 460–463 | Cite as

Metastatic renal cell carcinoma to head of the pancreas successfully treated by left nephrectomy and pancreatoduodenectomy

  • Hironari Kanemura
  • Jiro Fujimoto
  • Atsushi Fujimoto
  • Toshihiro Okada
  • Eizo Okamoto
Case Reports of Interest


We describe a patient with renal cell carcinoma with synchronous metastasis to the head of the pancreas who underwent left nephrectomy and pancreatoduodenectomy. The 57-year-old man was referred to us because of jaundice. Computed tomography of the abdomen showed irregular masses in the left kidney and head of the pancreas. Endoscopic retrograde cholangiopancreatography revealed a filling defect at the head of the pancreas. Renal angiography demonstrated the hypervascular nature of the lesion. No other tumor lesions were discovered. The patient underwent left nephrectomy and pancreatoduodenectomy. Postoperative histopathologic examination revealed clear cell-type renal cell carcinoma in both the renal and pancreatic lesions. At follow-up 3 years later, the patient was alive without evidence of recurrent disease. We present a rare case and assess the role of aggressive surgical management for this unusual problem.

Key words

metastatic renal cell carcinoma nephrectomy pancreatoduodenectomy disease-free survival 


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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Hironari Kanemura
    • 1
  • Jiro Fujimoto
    • 2
  • Atsushi Fujimoto
    • 1
  • Toshihiro Okada
    • 2
  • Eizo Okamoto
    • 2
  1. 1.Department of SurgeryHirashima HospitalSandaJapan
  2. 2.First Department of SurgeryHyogo College of MedicineNishinomiyaJapan

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