Nihei Kouei, Sakamoto Kaoru, Suzuki Satoshi, Mishina Takeshi, Otaki Masahiro
Dept. of Surgery, Tsuruoka Municipal Shonai Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2274-2276.
A 69-year-old woman underwent right nephrectomy for the treatment of renal cell carcinoma. Nine years later, a 2 cm, solitary tumor was detected in the pancreas tail using computed tomography, and the patient underwent distal pancreatectomy and splenectomy. The pathological diagnosis was metastasis of renal cell carcinoma. A year later, a new tumor was confirmed in the pancreas head on a follow-upCT scan. Nine years after the resection of the pancreatic metastasis, the pancreas head tumor had increased in size. It was determined to be renal cell carcinoma metastasis, but the patient remains alive and well 20 years after the initial resection.
一名69岁女性因肾细胞癌接受了右肾切除术。九年后,通过计算机断层扫描在胰尾发现了一个2厘米的孤立肿瘤,该患者接受了胰体尾切除术和脾切除术。病理诊断为肾细胞癌转移。一年后,在随访CT扫描中发现胰头有一个新肿瘤。在切除胰腺转移瘤九年后,胰头肿瘤增大。经确定为肾细胞癌转移,但该患者在初次切除术后20年仍存活且状况良好。