Resection of a solitary pancreatic metastasis from renal cell carcinoma with a gallbladder carcinoma: Report of a case

被引：10
|
作者：
Andoh, H [1 ]
Kurokawa, T [1 ]
Yasui, O [1 ]
Shibata, S [1 ]
Sato, T [1 ]
机构：
[1] Akita Univ, Sch Med, Dept Surg, Akita 0108543, Japan
来源：
SURGERY TODAY | 2004年 / 34卷 / 03期
关键词：
pancreatic metastasis; renal cell carcinoma; gallbladder carcinoma;
D O I：
10.1007/s00595-003-2680-6
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Most metastatic pancreatic tumors are detected at an advanced stage and are not considered suitable for surgery; however, resection is sometimes indicated for a solitary pancreatic metastasis from renal cell carcinoma (RCC) and improves the prognosis. We report such a case, in which the hilar liver was resected with lymph node dissection and distal pancreatectomy. Histological examination revealed regional lymph node metastasis of gallbladder carcinoma (GBC), but all the surgical margins were free of cancer. Postoperative extra-beam radiation therapy was delivered to the hepatic portal lesion to prevent GBC recurrence. The patient remains disease-free 14 months after the completion of radiation therapy. Thus, if all affected areas can be resected, the prognosis associated with pancreatic metastasis from RCC may be favorable.
引用
收藏
页码：272 / 275
页数：4
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