Lauro Salvatore, Onesti Elisa Concetta, Righini Riccardo, Carbonetti Francesco, Cremona Antonio, Marchetti Paolo
Department of Oncology, Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Via di Grottarossa 1035, 00189 Rome, Italy.
Department of Radiology, Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Via di Grottarossa 1035, 00189 Rome, Italy.
Case Rep Med. 2014;2014:473431. doi: 10.1155/2014/473431. Epub 2014 Mar 4.
We present a case report of a 75-years-old woman affected by renal clear cell carcinoma with a synchronous pancreatic metastasis and a metachronous lung metastasis. This case has two peculiarities. First the pancreatic metastasis was treated just with medical therapy, that is, Sunitinib, instead of the surgical therapy that is mostly considered. Secondly, the pancreatic lesion showed different characteristics on the computed tomography scan compared to the usual pancreatic metastases from renal clear cell carcinoma. The pancreatic metastasis totally regressed after medical treatment and nowadays, four years after the diagnosis, the patient is disease-free.
我们报告一例75岁女性肾透明细胞癌患者，同时伴有胰腺转移和异时性肺转移。该病例有两个特点。首先，胰腺转移仅接受了药物治疗，即舒尼替尼，而非大多所考虑的手术治疗。其次，与肾透明细胞癌常见的胰腺转移相比，该胰腺病变在计算机断层扫描上表现出不同特征。药物治疗后胰腺转移完全消退，如今，诊断后四年，患者无病生存。
