Splenic and portal vein thrombosis in pancreatic metastasis from Renal cell carcinoma
2006

Pancreatic Metastasis from Renal Cell Carcinoma

publication Evidence: low

Author Information

Author(s): Shrikhande Shailesh V, Büchler Peter, Esposito Irene, Loos Martin, Büchler Markus W, Friess Helmut

Primary Institution: University of Heidelberg

Hypothesis

Is a radical resection justified in view of a locally advanced (metastatic) pathology?

Conclusion

This case possibly documents the first instance of portal vein renal tumor thrombosis in isolated pancreatic metastasis from previously operated renal cell carcinoma.

Supporting Evidence

  • Pancreatic metastases from renal cell carcinoma are uncommon.
  • Surgical resection remains the only worthwhile treatment for pancreatic metastasis.
  • The patient had a smooth postoperative recovery and was discharged on the 9th postoperative day.
  • Final histopathology confirmed a metastatic renal cell carcinoma to the pancreas.

Takeaway

A patient with kidney cancer had a tumor that spread to the pancreas and caused a blockage in a vein, but doctors were able to remove it surgically.

Methodology

The patient underwent a subtotal left pancreatectomy with portal vein resection and primary anastomosis.

Limitations

The long-term outcome of such radical procedures needs a larger collective experience to reach a meaningful conclusion.

Participant Demographics

A 62-year-old male patient.

Digital Object Identifier (DOI)

10.1186/1477-7819-4-25

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