Katsourakis Anastasios, Noussios George, Hadjis Iosif, Alatsakis Michael, Chatzitheoklitos Efthimios
Department of Surgery, Agios Dimitrios General Hospital, 54634 Thessaloniki, Greece.
Case Rep Med. 2012;2012:464808. doi: 10.1155/2012/464808. Epub 2012 Jun 26.
We report a case of a 70-year-old man with renal cell carcinoma and metastasis to the pancreas. Symptomatic patients usually present with obstructive jaundice, abdominal pain, or GI bleeding. The diagnosis usually occurs in asymptomatic patients during followup for renal cell carcinoma. It usually befalls slowly from 2 to 18 years after the onset of the primary tumor of the kidney. A 70-year-old man presented in our department with weight loss, anorexia, and elevated blood glucose, having a large tumor on the head of the pancreas treated successfully by pancreatoduodenectomy. Three years after his treatment, the patient is doing well and without recurrence of the tumor. In conclusion, metastasis of renal cell carcinoma to the pancreas is a rare neoplasm accounting for 0.25-3% of all pancreatic tumors.
我们报告一例70岁男性肾细胞癌并转移至胰腺的病例。有症状的患者通常表现为梗阻性黄疸、腹痛或胃肠道出血。诊断通常发生在肾细胞癌随访期间的无症状患者中。它通常在肾原发性肿瘤发病后2至18年缓慢发生。一名70岁男性因体重减轻、食欲不振和血糖升高就诊于我院，其胰腺头部有一个大肿瘤，经胰十二指肠切除术成功治疗。治疗三年后，患者情况良好，肿瘤未复发。总之，肾细胞癌转移至胰腺是一种罕见肿瘤，占所有胰腺肿瘤的0.25%至3%。
