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v45 1 05 ae 腎細胞癌術後11年目に膵転移巣を切除した1例 利用統計を見る

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A Resected Case of Pancreatic Metastasis from Renal Cell Carcinoma

11 Years after Nephrectomy

Tatsu ISHII1）, Kitaro FUTAMI2）, Tomoko IDE1）,

Shigero MIYA JIMA 1）, Hiroshi TAIR A1）, Seiji HAR AOK A3）

1） Department of Urology, Chikushi Hospital, Fukuoka University

2） Department of Surgery, Chikushi Hospital, Fukuoka University

3） Department of Pathology, Chikushi Hospital, Fukuoka University

Abstract

We herein report a resected case of pancreatic metastasis from renal cell carcinoma （RCC） 11 years after nephrectomy in a 66-year-old man. He had previously undergone partial gastrectomy for gastric cancer （GC） at 54 years of age, left nephrectomy for RCC at 55 years of age and total gastrectomy for local recurrence of GC at 59 years of age. Abdominal dynamic computed tomography （CT） revealed a hypervascular mass in the tail of the pancreas, suggesting metastasis from RCC. Distal pancreatectomy was performed. The pathological diagnosis was metastatic clear cell RCC. Follow-up CT showed multiple intraperitoneal lymph nodes metastases at 66 months after pancreatic metastasectomy. He ultimately died 71 months after pancreatic metastasectomy and 205 months after initial nephrectomy.

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