BACKGROUND: Isolated pancreatic metastases from renal cell carcinoma may be treated by surgical resection in a curative intent.
As they are frequently multiple, a good imaging workup is mandatory to plan the appropriate resection. The aim of this study was to define the imaging workup that should be performed in this setting.
METHODS: We reviewed all patients who underwent pancreatic resection for metastasis of renal cell carcinoma in a single centre during a 20-year period. The results of the intraoperative ultrasonography were compared to those of the preoperative imaging and the final pathology results.
RESULTS: Thirteen patients were studied. A CT scan was always performed whereas only three patients had a MRI (only one revealed another tumor). Intraoperative ultrasonography found new tumors in 50% of patients when it was performed (4/8) and modified the management in 40% of them, while preoperative PET scan was useless.
CONCLUSIONS: Intraoperative ultrasonography is a low-cost and non-invasive technique that should be routinely included in the surgical exploration of pancreatic metastases from renal carcinoma.
Written by:
Facy O, Angot C, Guiu B, Al Samman S, Matte A, Rat P, Ortega-Deballon P. Are you the author?
Department of Digestive Surgical Oncology, University hospital, 14, rue Gaffarel, 21079 Dijon cedex, France; Inserm 866, Équipe Avenir, Locoregional Therapy in Surgical Oncology, Dijon, France.
Reference: Clin Res Hepatol Gastroenterol. 2013 Mar 13. pii: S2210-7401(13)00033-8.
doi: 10.1016/j.clinre.2013.01.006
PubMed Abstract
PMID: 23498772
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