Unexpected Prolonged Survival After Extended and Emergent Resection of Pancreatic Metastases from Renal Cell Carcinoma
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The pancreas is a rare site for metastases, and renal cell carcinoma is the most common origin for solitary pancreatic metastases [1, 2]. The significant reduction of the operative risk for pancreatic resection in dedicated centres has represented the basis for an aggressive surgical approach to patients with solitary pancreatic metastases from renal cell carcinoma. Pancreatic resection in this clinical setting has given satisfactory results [3, 4, 5].
Controversies exist about the indication to pancreatic resection in patients with synchronous pancreatic and extra-pancreatic metastases from renal cell carcinoma in the era of tyrosine kinase inhibitors [6, 7, 8], and the best therapeutic approach to patients with symptomatic pancreatic metastases from renal cell carcinoma invading the major veins or causing bleeding.
Here, we report 1 patient who had surgery for pancreatic metastases from renal cell carcinoma with thrombus extending up to the portal vein and liver involvement, and 1...
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Conflict of Interest
The authors declare that they have no conflict of interest.
- 5.Brozzetti S Systematic review of surgery for pancreatic metastases from renal cell carcinoma professorship thesis University of Rome Sapienza 2017.Google Scholar