Oka H, Hatayama T, Taki Y, Ueyama H, Hida S, Noguchi M
Department of Urology, Kyoto City Hospital.
Hinyokika Kiyo. 1991 Nov;37(11):1531-4.
We report a case of renal cell carcinoma with metastasis to the pancreas, treated by radical nephrectomy and total pancreatectomy. A 56-year-old man visited our hospital because of macrohematuria and right low backache. An intravenous pyelography, ultrasonography and a CT scan of the abdomen revealed right renal tumor at the upper portion, about 11 cm in diameter, but no abnormal findings of the pancreas. Aortic and celiac angiograms demonstrated multifocal lesions, 1 or 2 cm in size, compatible with a metastatic tumor in the region of the pancreas. The patient underwent right radical nephrectomy and open biopsy of the pancreas. The right renal tumor was histologically revealed to be renal cell carcinoma without nodal or venous extension. Histological examination of the pancreas biopsy specimen confirmed it to be a renal cell carcinoma metastatic to the pancreas. Therefore, he underwent total pancreatectomy 1 month after the previous surgery. Three months after the second surgery, a CT scan of the brain revealed metastasis to the pituitary gland. He is still under therapy.
我们报告一例肾细胞癌转移至胰腺的病例，该患者接受了根治性肾切除术和全胰切除术。一名56岁男性因肉眼血尿和右腰背痛前来我院就诊。静脉肾盂造影、超声检查及腹部CT扫描显示右肾上部有一肿瘤，直径约11厘米，但胰腺未见异常。主动脉造影和腹腔动脉造影显示胰腺区域有多个大小为1或2厘米的病灶，符合转移性肿瘤表现。患者接受了右根治性肾切除术及胰腺开放性活检。右肾肿瘤组织学检查显示为肾细胞癌，无淋巴结或静脉侵犯。胰腺活检标本的组织学检查证实为肾细胞癌转移至胰腺。因此，他在首次手术后1个月接受了全胰切除术。第二次手术后3个月，脑部CT扫描显示垂体转移。他仍在接受治疗。
