Marusch F, Koch A, Dietrich F, Hoschke B, Gastinger I
Chirurgische Klinik, Carl-Thiem-Klinikum Cottbus.
Zentralbl Chir. 2001 May;126(5):391-5. doi: 10.1055/s-2001-14748.
We present the rare case of a solitary pancreatic metastasis of renal cell cancer being the only manifestation of tumordissemination. In 1993 the patient underwent a transperitoneal nephrectomy for removal of a clear cell renal cancer. In 1998 during follow up we detected a pancreatic tumor which was treated by pancreas resection, splenectomy and resection of the colon transversum. The histology revealed a metastasis of the previously resected renal cancer. The postoperative recovery was impaired by the development of an abcess in the former pancreatic region. During the first year of follow up we did not find any signs for local or distant tumor recurrence. Pancreas resection adapted to the location of the tumor is the treatment of choice for isolated solitary late metastases of renal cell cancer.
我们报告了一例罕见的肾细胞癌孤立性胰腺转移病例，这是肿瘤播散的唯一表现。1993年，患者接受了经腹肾切除术以切除透明细胞肾癌。1998年随访期间，我们检测到一个胰腺肿瘤，通过胰腺切除、脾切除和横结肠切除进行了治疗。组织学检查显示为先前切除的肾癌转移。前胰腺区域脓肿的形成妨碍了术后恢复。在随访的第一年，我们未发现任何局部或远处肿瘤复发的迹象。根据肿瘤位置进行的胰腺切除术是肾细胞癌孤立性晚期转移的首选治疗方法。
