Pancreatic Mass in a Patient with a History of Resected Renal Cell Carcinoma and Resected Adenocarcinoma of the Ampulla of Vater: A Case Report
Background: Metastases of renal cell carcinoma (RCC) to the pancreas are rare, whereas recurrence of pancreatic ductal adenocarcinoma (PDA) or a primary periampullary cancer is far more common. The time elapsed between a primary tumor and a new mass can aid in differentiation between the two. Presen...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Mary Ann Liebert
2018-08-01
|
Series: | Journal of Pancreatic Cancer |
Subjects: | |
Online Access: | https://www.liebertpub.com/doi/full/10.1089/PANCAN.2018.0001 |
id |
doaj-6c125b39b49b43a5a6bf898ae879c160 |
---|---|
record_format |
Article |
spelling |
doaj-6c125b39b49b43a5a6bf898ae879c1602020-11-24T23:48:13ZengMary Ann LiebertJournal of Pancreatic Cancer 2475-32462018-08-0141414410.1089/PANCAN.2018.0001Pancreatic Mass in a Patient with a History of Resected Renal Cell Carcinoma and Resected Adenocarcinoma of the Ampulla of Vater: A Case ReportSarah M. Kling0Sami Tannouri1Wei Jiang2Charles J. Yeo3Department of Surgery, Sidney Kimmel Medical College at Thomas Jefferson University HospitalDepartment of Surgery, Sidney Kimmel Medical College at Thomas Jefferson University HospitalDepartment of Surgery, Sidney Kimmel Medical College at Thomas Jefferson University HospitalDepartment of Surgery, Sidney Kimmel Medical College at Thomas Jefferson University HospitalBackground: Metastases of renal cell carcinoma (RCC) to the pancreas are rare, whereas recurrence of pancreatic ductal adenocarcinoma (PDA) or a primary periampullary cancer is far more common. The time elapsed between a primary tumor and a new mass can aid in differentiation between the two. Presentation: A 70-year-old man with a history of RCC status after left nephrectomy and ampullary adenocarcinoma status after pancreaticoduodenectomy presents with an incidentally found mass in his remnant pancreas. Resection of the mass via completion pancreatectomy yielded pathology consistent with metastatic RCC. Conclusions: Metastases of RCC to the pancreas often present many years after a primary resection. Conversely, recurrent PDA often presents within 5 years of resection. Resection of RCC metastases yields better survival than resection of recurrent PDA, which is controversial. We recommend resection of suspected isolated pancreatic RCC metastases due to known favorable outcomes.https://www.liebertpub.com/doi/full/10.1089/PANCAN.2018.0001metastasespancreatic adenocarcinomarenal cell carcinoma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sarah M. Kling Sami Tannouri Wei Jiang Charles J. Yeo |
spellingShingle |
Sarah M. Kling Sami Tannouri Wei Jiang Charles J. Yeo Pancreatic Mass in a Patient with a History of Resected Renal Cell Carcinoma and Resected Adenocarcinoma of the Ampulla of Vater: A Case Report Journal of Pancreatic Cancer metastases pancreatic adenocarcinoma renal cell carcinoma |
author_facet |
Sarah M. Kling Sami Tannouri Wei Jiang Charles J. Yeo |
author_sort |
Sarah M. Kling |
title |
Pancreatic Mass in a Patient with a History of Resected Renal Cell Carcinoma and Resected Adenocarcinoma of the Ampulla of Vater: A Case Report |
title_short |
Pancreatic Mass in a Patient with a History of Resected Renal Cell Carcinoma and Resected Adenocarcinoma of the Ampulla of Vater: A Case Report |
title_full |
Pancreatic Mass in a Patient with a History of Resected Renal Cell Carcinoma and Resected Adenocarcinoma of the Ampulla of Vater: A Case Report |
title_fullStr |
Pancreatic Mass in a Patient with a History of Resected Renal Cell Carcinoma and Resected Adenocarcinoma of the Ampulla of Vater: A Case Report |
title_full_unstemmed |
Pancreatic Mass in a Patient with a History of Resected Renal Cell Carcinoma and Resected Adenocarcinoma of the Ampulla of Vater: A Case Report |
title_sort |
pancreatic mass in a patient with a history of resected renal cell carcinoma and resected adenocarcinoma of the ampulla of vater: a case report |
publisher |
Mary Ann Liebert |
series |
Journal of Pancreatic Cancer |
issn |
2475-3246 |
publishDate |
2018-08-01 |
description |
Background: Metastases of renal cell carcinoma (RCC) to the pancreas are rare, whereas recurrence of pancreatic ductal adenocarcinoma (PDA) or a primary periampullary cancer is far more common. The time elapsed between a primary tumor and a new mass can aid in differentiation between the two.
Presentation: A 70-year-old man with a history of RCC status after left nephrectomy and ampullary adenocarcinoma status after pancreaticoduodenectomy presents with an incidentally found mass in his remnant pancreas. Resection of the mass via completion pancreatectomy yielded pathology consistent with metastatic RCC.
Conclusions: Metastases of RCC to the pancreas often present many years after a primary resection. Conversely, recurrent PDA often presents within 5 years of resection. Resection of RCC metastases yields better survival than resection of recurrent PDA, which is controversial. We recommend resection of suspected isolated pancreatic RCC metastases due to known favorable outcomes. |
topic |
metastases pancreatic adenocarcinoma renal cell carcinoma |
url |
https://www.liebertpub.com/doi/full/10.1089/PANCAN.2018.0001 |
work_keys_str_mv |
AT sarahmkling pancreaticmassinapatientwithahistoryofresectedrenalcellcarcinomaandresectedadenocarcinomaoftheampullaofvateracasereport AT samitannouri pancreaticmassinapatientwithahistoryofresectedrenalcellcarcinomaandresectedadenocarcinomaoftheampullaofvateracasereport AT weijiang pancreaticmassinapatientwithahistoryofresectedrenalcellcarcinomaandresectedadenocarcinomaoftheampullaofvateracasereport AT charlesjyeo pancreaticmassinapatientwithahistoryofresectedrenalcellcarcinomaandresectedadenocarcinomaoftheampullaofvateracasereport |
_version_ |
1725486610769772544 |