Barras J P, Baer H, Stenzl A, Czerniak A
University clinic for visceral and transplantation surgery, Inselspital Bern, Switzerland.
HPB Surg. 1996;10(1):51-3; discussion 53-4. doi: 10.1155/1996/56065.
A 53-year-old man underwent right nephrectomy for a locally renal cell carcinoma with concomitant resection of a solitary metastasis in the right lung. Ten years later, he presented with haematochezia caused by a tumour in the tail of pancreas, invading the transverse colon and the greater curvature of the stomach. The tumour was radically resected, and histological examination revealed a solitary metastasis of the previous renal cell carcinoma. This case illustrates a rare indication for pancreatic resection because of pancreatic metastasis.
一名53岁男性因局部肾细胞癌接受了右肾切除术，同时切除了右肺的一个孤立转移灶。十年后，他因胰腺尾部肿瘤侵犯横结肠和胃大弯导致便血。肿瘤被根治性切除，组织学检查显示为先前肾细胞癌的孤立转移灶。该病例说明了因胰腺转移而进行胰腺切除的罕见指征。
