Renal cell carcinoma metastatic to the pancreas: a single-institution series and review of the literature.

Abstract:

OBJECTIVES:To present a series of 5 patients with solitary metastatic renal cell carcinoma (RCC) to the pancreas after radical nephrectomy at our institution and review the published reports of this rare event. METHODS:A retrospective review of the records of 5 patients with histologically confirmed RCC metastatic to the pancreas after radical nephrectomy was performed. A total of 5 patients (4 men, 1 woman) with a median age of 56 years (range 54 to 68) underwent radical nephrectomy for primary RCC. The pathologic stage was Robson I (n = 3) or Robson III (n = 2), with a left-sided tumor occurring in 3 patients and a right-sided tumor in 2 patients. The median interval from nephrectomy to the diagnosis of the pancreatic metastasis was 12 years (range 4 to 15). All patients were symptomatic at presentation, including weight loss (n = 3), abdominal pain (n = 3), early satiety (n = 1), steatorrhea (n = 1), and/or hemosuccus pancreaticus (n = 1). RESULTS:All pancreatic metastases were hypervascular on imaging studies, and surgical removal was accomplished by pancreaticoduodenectomy (n = 3), partial pancreatectomy (n = 1), or subtotal pancreatectomy (n = 1). One patient died of disseminated disease 12 months after pancreatic resection. Two other patients had recurrences in the lung (n = 1) at 5 months or the pancreas/liver (n = 1) at 48 months. Both of these patients underwent a second resection and were disease free at 2 and 12 months afterward. The two remaining patients were disease free at 7 and 24 months after pancreatic resection. CONCLUSIONS:RCC is an unpredictable tumor that may demonstrate very late metastases even from early-stage lesions. Aggressive surgical management of isolated pancreatic lesions offers a chance of long-term survival.

journal_name

Urology

journal_title

Urology

authors

Kassabian A,Stein J,Jabbour N,Parsa K,Skinner D,Parekh D,Cosenza C,Selby R

doi

10.1016/s0090-4295(00)00639-7

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

211-5

issue

2

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(00)00639-7

journal_volume

56

pub_type

杂志文章,评审

相关文献

UROLOGY文献大全
  • Seminal vesicles as organs of sperm storage.

    abstract::This study was done to determine whether or not the seminal vesicles store spermatozoa. Half of the nonhuman primates' vesicles had sperm at autopsy as did one of the men dying a traumatic death. Seminal vesicle sperm storage may be the reason for continued spermatozoa in the ejaculates of men after vasectomy. :These...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(78)90237-6

    authors: Ponig BF Jr,Roberts JA

    更新日期:1978-04-01 00:00:00

  • Laparoscopic radical nephrectomy for renal cell carcinoma: a five-year experience.

    abstract:OBJECTIVES:To evaluate the efficacy of laparoscopic radical nephrectomy for patients with small renal cell carcinoma by comparing the clinical results of patients treated laparoscopically with those of patients treated with traditional open radical nephrectomy. METHODS:Of 100 patients with localized, small (less than ...

    journal_title:Urology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0090-4295(98)00505-6

    authors: Ono Y,Kinukawa T,Hattori R,Yamada S,Nishiyama N,Mizutani K,Ohshima S

    更新日期:1999-02-01 00:00:00

  • Radiographic prognostic criteria for extracorporeal shock-wave lithotripsy: a study of 485 patients.

    abstract:OBJECTIVES:We studied 485 patients treated by extracorporeal shock-wave lithotripsy (ESWL) using an ultrasound electrohydraulic apparatus in an effort to define radiographic criteria for better patient selection for ESWL. METHODS:Results were assessed according to plain x-ray nephrotomography and ultrasound. The crite...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(96)00251-8

    authors: Bon D,Dore B,Irani J,Marroncle M,Aubert J

    更新日期:1996-10-01 00:00:00

  • Controlled continuous flow method for transurethral resections.

    abstract::Controlled continuous flow is a new method for performing transurethral resection. Pumps are guided by an intravesical solid state transducer designed into the instrument. There is computer control of pump balance with electronic shut-off at maximum pressure limits which are determined by the surgeon. This method was ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(83)90006-7

    authors: Widran J

    更新日期:1983-02-01 00:00:00

  • Evolution of endoscopic urethropexy: seven-year experience with various techniques.

    abstract::The surgical techniques for correction of stress urinary incontinence continues to evolve particularly those utilizing the endoscopic approach. Various forms of endoscopic urethropexy have been performed in 142 women with a minimum of one-year follow-up. The cure rate for the entire series was 94 percent. In the last ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(91)80103-e

    authors: Kursh ED,Angell AH,Resnick MI

    更新日期:1991-05-01 00:00:00

  • Prediction of renal allograft rejection by urinary protein analysis using ProteinChip Arrays (surface-enhanced laser desorption/ionization time-of-flight mass spectrometry).

    abstract:OBJECTIVES:To develop a noninvasive method for the detection of renal transplant rejection using ProteinChip Arrays (surface-enhanced laser desorption/ionization time-of-flight mass spectrometry). METHODS:A total of 23 urine samples were collected from 13 patients showing biopsy-proven renal allograft rejection and fr...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2005.09.038

    authors: Reichelt O,Müller J,von Eggeling F,Driesch D,Wunderlich H,Schubert J,Gröne HJ,Stein G,Ott U,Junker K

    更新日期:2006-03-01 00:00:00

  • Postchemotherapy retroperitoneal lymph node dissection is effective therapy in selected patients with elevated tumor markers after primary chemotherapy alone.

    abstract:OBJECTIVES:Elevated tumor markers after primary chemotherapy for metastatic testis cancer are usually an indication of persistent cancer. Subsequent treatment has usually been salvage chemotherapy. This article examines the possibility that selected patients can achieve long-term disease-free survival with surgery alon...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/S0090-4295(97)00458-5

    authors: Coogan CL,Foster RS,Rowland RG,Bihrle R,Smith ER Jr,Einhorn LH,Roth BJ,Donohue JP

    更新日期:1997-12-01 00:00:00

  • Intermediate-risk urothelial carcinoma: an unresolved problem?

    abstract:OBJECTIVES:To perform a biologic characterization of the urothelial neoplasms of patients in the intermediate-risk group using multicolor-fluorescence in situ hybridization (FISH). A general consensus has not been reached with regard to the optimal therapy and follow-up of patients with urothelial neoplasms at intermed...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2003.10.020

    authors: Pycha A,Lodde M,Comploj E,Negri G,Egarter-Vigl E,Vittadello F,Lusuardi L,Palermo S,Mian C

    更新日期:2004-03-01 00:00:00

  • Miliary tuberculosis following ureteral catheterization.

    abstract::In a patient with undiagnosed right renal tuberculosis miliary spread to both lungs developed following ureteral catheterization. Mycobacteremia with miliary metastatic foci should be considered as a complication of urinary tract instrumentation in the presence of renal tuberculosis. ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(80)90084-9

    authors: Yekanath H,Gross PA,Vitenson JH

    更新日期:1980-08-01 00:00:00

  • Laparoscopic treatment of intrinsic endometriosis of the urinary tract and proposal of a treatment scheme for ureteral endometriosis.

    abstract:OBJECTIVE:To discuss the contemporary management of urinary tract endometriosis and report our experience concerning laparoscopic treatment of intrinsic urinary tract endometriosis. METHODS:We performed a retrospective, multicenter study of data collected from March 2006 to March 2011. Ten women were referred from gyn...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2012.07.036

    authors: Lusuardi L,Hager M,Sieberer M,Schätz T,Kloss B,Hruby S,Jeschke S,Janetschek G

    更新日期:2012-11-01 00:00:00

  • Adenotonsillectomy Normalizes Hormones and Urinary Electrolytes in Children With Nocturnal Enuresis and Sleep-Disordered Breathing.

    abstract:OBJECTIVE:To assess (1) plasma levels of antidiuretic hormone (ADH) and brain natriuretic peptide (BNP) and urinary levels of electrolytes in children with sleep disordered breathing (SDB), with or without nocturnal enuresis (NE), and (2) the effect of adenotonsillectomy (T&A) on urinary electrolytes and the secretion ...

    journal_title:Urology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.urology.2015.04.011

    authors: Kovacevic L,Lu H,Wolfe-Christensen C,Abdulhamid I,Thottam PJ,Lulgjuraj M,Madgy DN,Lakshmanan Y

    更新日期:2015-07-01 00:00:00

  • Multiocular cystic renal cell carcinoma: implications for nephron sparing surgery.

    abstract::Multilocular cystic renal cell carcinoma (MCRCC) is an uncommon type of cystic renal neoplasm with characteristic histologic findings and a good prognosis. Three cases are reported. One case involves enucleation of an MCRCC in a kidney donor with a 10-year follow-up and no recurrence in the transplant recipient. Nephr...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(97)00703-6

    authors: Weiss SG 2nd,Hafez RG,Uehling DT

    更新日期:1998-04-01 00:00:00

  • Bilateral Ureterovaginal Fistulas and Vesicovaginal Fistula in Setting of Retained Pessary.

    abstract::Urogenital fistulas in the setting of foreign body are rare. Isolated vesicovaginal fistula is the most common and has been reported in the setting of retained intraureterine device,1,2 neglected pessary3,4 and atypical insertions related mostly to sexual activity or underlying psychiatric disorders.5-7 Combined vesic...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2020.04.049

    authors: Rapp DE,Congleton JY,Boatman K,Karp N,Krupski T

    更新日期:2020-07-01 00:00:00

  • Incontinence due to fragmentation of forgotten ureteral stent: an unusual complication.

    abstract::We present an unusual case of a fragmented, long forgotten double-J stent with incontinence as a result of partial extrusion of the lower fragment across the urinary sphincters. After reviewing the published data, incontinence as a presenting complaint, to the best of our knowledge, has not been reported for this cond...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2009.05.011

    authors: Sengottayan VK,Vasudeva P,Goel A,Dalela D

    更新日期:2009-12-01 00:00:00

  • Minidose heparin in transurethral prostatectomy.

    abstract::A double-blind prospective study was performed on 34 patients undergoing transurethral resection of the prostate (TURP). Seventeen patients, selected at random by computer, were given 5,000 units of subcutaneous heparin three hours preoperatively and every twelve hours thereafter for forty-eight hours. The other 17 re...

    journal_title:Urology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0090-4295(83)80007-7

    authors: Bejjani BB,Chen DC,Nolan NG,Edson M

    更新日期:1983-09-01 00:00:00

  • Erectile dysfunction and fruit/vegetable consumption among diabetic Canadian men.

    abstract:OBJECTIVE:To evaluate the association between fruit/vegetable consumption and erectile dysfunction (ED) among Canadian men with diabetes. METHODS:Data from the 2011 Survey on Living with Chronic Diseases in Canada - Diabetes Component were analyzed using Statistical Analysis System Enterprise Guide (SAS EG). Responden...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2013.07.061

    authors: Wang F,Dai S,Wang M,Morrison H

    更新日期:2013-12-01 00:00:00

  • Long-term outcomes after percutaneous radiofrequency ablation for renal cell carcinoma.

    abstract:OBJECTIVES:To assess the long-term oncological efficacy of radiofrequency ablation (RFA) for treatment of renal cell carcinoma (RCC). METHODS:In this institutional review board-approved, retrospective study, the records and imaging studies for all RCC patients treated with percutaneous RFA before 2005 were reviewed an...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2010.12.077

    authors: Zagoria RJ,Pettus JA,Rogers M,Werle DM,Childs D,Leyendecker JR

    更新日期:2011-06-01 00:00:00

  • Results of conservative treatment (transurethral resection plus adjuvant intravesical chemotherapy) in patients with primary T1, G3 transitional cell carcinoma of the bladder.

    abstract:OBJECTIVES:To evaluate a selected population of 50 consecutive patients with primary T1, G3 bladder transitional cell carcinoma in the absence of carcinoma in situ (Tis) treated with a bladder-sparing approach. METHODS:Between January 1983 and December 1992, all patients were treated by transurethral resection (TUR) p...

    journal_title:Urology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0090-4295(96)00007-6

    authors: Serretta V,Piazza S,Pavone C,Piazza B,Pavone-Macaluso M

    更新日期:1996-05-01 00:00:00

  • Pelvic floor electrical stimulation: a comparison of daily and every-other-day therapy for genuine stress incontinence.

    abstract:OBJECTIVES:To compare the effectiveness of daily and every-other-day electrical stimulation in treating genuine stress incontinence. METHODS:Subjects with genuine stress incontinence were enrolled in a multicenter, prospective, nonrandomized study and underwent daily or every-other-day pelvic floor stimulation treatme...

    journal_title:Urology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/s0090-4295(96)00090-8

    authors: Richardson DA,Miller KL,Siegel SW,Karram MM,Blackwood NB,Staskin DR

    更新日期:1996-07-01 00:00:00

  • Gastrointestinal hemorrhage as first manifestation of metastatic testicular tumor.

    abstract::We report a case of a man with a testicular mixed germ cell tumor in whom the first symptom was severe anemia secondary to upper gastrointestinal bleeding from a metastatic pure choriocarcinoma. He underwent ileal enterectomy, radical orchiectomy, and several cycles of chemotherapy (cisplatin, etoposide, and bleomycin...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2005.06.102

    authors: Shariat SF,Duchene D,Kabbani W,Mucher Z,Lotan Y

    更新日期:2005-12-01 00:00:00

  • Decreased Recurrence of Urolithiasis After Simultaneous Ureteroscopic Surgery for Ureter and Ipsilateral Renal Calculi: Comparison to Shockwave Lithotripsy for Ureter Calculi Alone.

    abstract:OBJECTIVE:To compare follow-up outcomes of ureteroscopy (URS) and shockwave lithotripsy (SWL) for ureter calculi in the setting of asymptomatic renal calculi <15 mm. METHODS:This study included 789 patients who underwent URS (n = 301) or SWL (n = 488) as primary treatment for ureter calculi and who had ipsilateral ren...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2020.10.041

    authors: Ito K,Takahashi T,Kanno T,Okada T,Higashi Y,Yamada H

    更新日期:2021-01-01 00:00:00

  • The "7-flap" perineal urethrostomy.

    abstract:OBJECTIVES:Perineal urethrostomy is a well-accepted reconstructive option for complex anterior urethral stricture disease. We present a novel technique for the construction of a perineal urethrostomy that allows the surgeon greater control when managing all levels of anterior urethral stricture disease. METHODS:A peri...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2010.10.053

    authors: French D,Hudak SJ,Morey AF

    更新日期:2011-06-01 00:00:00

  • Early hyperbaric oxygen therapy improves outcome for radiation-induced hemorrhagic cystitis.

    abstract:OBJECTIVES:To assess the clinical factors that affect the efficacy of hyperbaric oxygen (HBO2) therapy in treating radiation-induced hemorrhagic cystitis. HBO2 therapy is an effective treatment for radiation-induced hemorrhagic cystitis, with reported response rates ranging from 76% to 100%. METHODS:The data from pati...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2004.10.050

    authors: Chong KT,Hampson NB,Corman JM

    更新日期:2005-04-01 00:00:00

  • Bladder muscle contractility. Comparative effects and mechanisms of action of atropine, propantheline, flavoxate, and imipramine.

    abstract::The anticholinergic and antispasmodic activity of atropine, propantheline, imipramine, and flavoxate were judged by each drug's ability to inhibit bethanechol chloride and barium chloride-induced canine detrusor contractions. In this in vitro model, atropine and propantheline are pure anticholinergic agents. Imipramin...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(77)90279-5

    authors: Benson GS,Sarshik SA,Raezer DM,Wein AJ

    更新日期:1977-01-01 00:00:00

  • Vasectomy with transurethral resection of prostate.

    abstract::A retrospective study was made of 200 patients undergoing transurethral prostatectomy. Half of these patients received bilateral vasectomies. The vasectomized patients had a 5-percent incidence of epididymitis as compared with a 2-percent incidence in the nonvasectomized patients. Vasectomy failed to provide adequate ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(79)90281-4

    authors: Whitlock NW,McAninch JW,Stutzman RE

    更新日期:1979-02-01 00:00:00

  • Surgical management of urethral stricture in the male.

    abstract::Urethral dilatation has long been the standard treatment for patients with urethral stricture. However, in many patients such dilatations may be difficult, painful, or have to be done at frequent intervals. The alternative techniques of direct vision urethrotomy or urethroplasty have been considered in 101 patients ov...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(81)90461-1

    authors: Smith PJ,Dunn M,Roberts JB

    更新日期:1981-12-01 00:00:00

  • Association of radionuclide bone scan and serum alkaline phosphatase in patients with metastatic renal cell carcinoma.

    abstract:OBJECTIVES:We assessed the frequency of bone metastases, their association with serum alkaline phosphatase (AP), and prognostic capabilities of AP in patients with renal cell carcinoma (RCC), using bone scan as the reference standard for diagnosis. METHODS:We conducted a retrospective review of patients with metastati...

    journal_title:Urology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/S0090-4295(96)00236-1

    authors: Seaman E,Goluboff ET,Ross S,Sawczuk IS

    更新日期:1996-11-01 00:00:00

  • Enhanced expression of macrophage migration inhibitory factor in prostatic adenocarcinoma metastases.

    abstract:OBJECTIVES:Determining the genetic changes associated with the development of metastatic prostate cancer is of utmost importance in patient prognosis and therapy. Our goal is to identify genes whose enhanced expression is associated with metastatic prostate cancer. METHODS:Total ribonucleic acid was isolated from pros...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/S0090-4295(96)00207-5

    authors: Meyer-Siegler K,Hudson PB

    更新日期:1996-09-01 00:00:00

  • Margin, ischemia, and complications system to report perioperative outcomes of robotic partial nephrectomy: a European Multicenter Observational Study (EMOS project).

    abstract:OBJECTIVE:To explore the margin, ischemia, and complications (MIC) system achievement rate within a population of patients who were treated with robotic partial nephrectomy (RAPN), at 3 different tertiary care centers, and to determine the factors predicting MIC achievement. METHODS:The study population consisted of 3...

    journal_title:Urology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.urology.2014.09.068

    authors: Lista G,Buffi NM,Lughezzani G,Lazzeri M,Abrate A,Mistretta A,Larcher A,Dell'Oglio P,Fossati N,Porter J,Ficarra V,Mottrie A,Guazzoni G

    更新日期:2015-03-01 00:00:00

  • Plasma cell granuloma of kidney.

    abstract::A case report of a plasma cell granuloma presenting as a solitary avascular intrarenal mass lesion is presented with angiographic and ultrasonic findings. ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(76)90066-2

    authors: Fisch AE,Brodey PA

    更新日期:1976-07-01 00:00:00