Nakagohri Toshio, Konishi Masaru, Inoue Kazuto, Nakamura Takayuki, Kinoshita Taira
Department of Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa 277-8577, Japan.
Hepatogastroenterology. 2003 Nov-Dec;50(54):2236-8.
We report partial pancreatic head resection for pancreatic metastasis of renal cell carcinoma. A 71-year-old man was admitted to our hospital without any complaint. Contrast-enhanced computed tomographic showed a hypervascular tumor 1.5 cm in diameter in the head of the pancreas. We performed partial head resection preserving the duct of Wirsung and the duct of Santorini. He is presently alive and well without any evidence of recurrent disease 18 months after the operation. Isolated pancreatic metastasis of renal cell carcinoma enables surgeons to perform partial pancreatic head resection in selected cases.
我们报告了1例因肾细胞癌胰腺转移而行胰头部分切除术的病例。一名71岁男性因无任何不适症状入院。增强CT显示胰头有一个直径1.5 cm的富血管肿瘤。我们进行了保留主胰管和副胰管的胰头部分切除术。术后18个月,患者目前存活且状况良好,无任何复发迹象。孤立性肾细胞癌胰腺转移使外科医生能够在特定病例中施行胰头部分切除术。