Pancreatic resection for metastatic renal cell carcinoma: a single center experience and review of the literature.

Abstract:

:Renal cell carcinoma (RCC) is one of the few tumour types metastatic to the pancreas. In order to evaluate the outcome following resection of pancreatic metastases of RCC a retrospective review of surgical patients was performed. The initial histopathological staging, disease-free interval, surgical outcome and survival were evaluated. The median interval between nephrectomy and pancreatic resection was 9 years. Six out of the ten patients preoperatively presented with severe complaints caused by the pancreatic metastasis, such as pain, chronic pancreatitis, jaundice and gastrointestinal bleeding. Severe postoperative complications only occurred in two patients, who presented in a deteriorated condition preoperatively. The median follow-up was 56 months, in 3 patients more than 5 years. Although the spontaneous course of RCC metastases can be favourable, the complete resection of pancreatic metastases for patients in good physical condition is suggested if possible. Moreover, good palliation of symptoms in patients with long-term survival can be achieved.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Schauer M,Vogelsang H,Siewert JR

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

361-5

issue

1B

eissn

0250-7005

issn

1791-7530

journal_volume

28

pub_type

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