A 73-year-old man, who had a left nephrectomy for renal cell carcinoma at the age of 58, visited our hospital for the treatment of 2 right lung tumors.
Both tumors were resected. Immunopathology showed that one of these was a metastatic tumor from renal cell carcinoma, and the other was a primary lung adenocarcinoma. Four years later, a follows-up computed tomography showed a hypervascular nodule in the body of the pancreas. Distal pancreatectomy and spleenectomy were performed, and histopathological analysis revealed that the tumor was a metastasis from renal cell carcinoma. Three months after surgery, multiple liver metastases were discovered, and molecular-targeted therapy was started. If a distant metastasis from renal cell carcinoma can be resected completely, it has been reported that a good long-term prognosis can be expected. Therefore, postoperative long-term follow-up after resection of the renal cell carcinoma is essential, and if possible, the resection of metastasis should be considered.
Written by:
Ogura T, Amikura K, Akiyama H, Nishimura Y, Kawashima Y, Sakamoto H, Nishimura Y, Kurosumi M, Tanaka Y. Are you the author?
Dept. of Gastroenterological Surgery, Saitama Cancer Center, Japan.
Reference: Gan To Kagaku Ryoho. 2012 Nov;39(12):2152-4.
PubMed Abstract
PMID: 23268007
Article in Japanese.
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