Zusammenfassung.
Pankreasmetastasen sind seltene Spätmanifestationen des Nierenzellkarzinoms. Wir berichten über zwei Patientinnen, die 8œ bzw. 7œ Jahre vorher aufgrund eines organbegrenzten Nierenzellkarzinoms nephrektomiert wurden und bei denen im Rahmen der Tumornachsorge isolierte Pankreasmetastasen festgestellt wurden. Diagnostische Maßnahmen und die operative Behandlung von Pankreasmetastasen werden kurz diskutiert.
Metachronous pancreatic metastases - uncommon late manifestation of the renal cell carcinoma.
Pancreatic metastases are uncommon late manifestations of renal cell carcinoma. We report on two female patients who had undergone tumour nephrectomy for organ confined renal cell carcinoma 8œ and 7œ years earlier and who were now diagnosed with isolated pancreatic metastases by ultrasonography during oncological follow-up exam. Diagnostic procedures and operative treatment of pancreatic metastases are briefly discussed.
Schlüsselwörter:
Metachrone Pankreasmetastasen - Fallberichte - Nierenzellkarzinom - Diagnose und Behandlung
Key words:
Metachronous pancreatic metastases - Case reports - Renal cell carcinoma - Diagnosis and treatment
Literatur
-
1 Willis R A. Pathology of tumors, 4th edition. London; Butterworth 1967: 175
-
2
Roland C F, van Heerden J A.
Nonpancreatic primary tumors with metastasis to the pancreas.
Surg Gynecol Obstet.
1989;
168
345-347
-
3
McNichols D W, Segura J W, DeWeerd J H.
Renal cell carcinoma: long-term survival and late recurrense.
J Urol.
1981;
126
17-23
-
4
Walter C W, Gillepsie D R.
Metastatic hypernephroma of fifty years duration.
Minn Med.
1960;
43
123-124
-
5
Hashimoto M, Watanabe G, Matsuda M, Dohi T, Tsurumaru M.
Management of the pancreatic metastases from renal cell carcinoma: report of four resected cases.
Hepatogastroenterology.
1998;
45
1150-1154
-
6
Hirota T, Tomida T, Iwasa M, Takahashi K, Kaneda M, Tamaki H.
Solitary pancreatic metastasis occurring eight years after nephrectomy for renal cell carcinoma.
Int J Pancreatol.
1996;
19
145-153
-
7
Boudghene F P, Deslandes P M, LeBlanche A F, Bigot J M.
US and CT imaging features of intrapancreatic metastases.
J Comput Assist Tomogr.
1994;
18
905-910
-
8
Ng C S, Loyer E M, Iyer R B. et al .
Metastases to the pancreas from renal cell carcinoma: findings on three-phase contrast-enhanced helica CT.
Am J Roentgenol.
1999;
172
1555-1559
-
9
Z'graggen K, Fernandez-del Castillio C, Rattner D W, Sigala H, Warshaw A L.
Metastases to the pancreas and their surgical extirpation.
Arch Surg.
1998;
133
413-417
-
10
Tongaonkar H B, Kulkarni J N, Kamat M R.
Solitary metastases from renal cell carcinoma: a review.
J Surg Oncol.
1992;
49
45-48
Dr. med. Ronald Bräutigam
Klinik für Allgemein- und Visceralchirurgie Katharinenhospital Stuttgart
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