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Surgical Therapy of Intrapancreatic Metastasis from Renal Cell Carcinoma

By Andreas Volk, Stephan Kersting, Ralf Konopke, Frank Dobrowolski, Stefan Franzen, Detlef Ockert, Robert Grützmann, Hans Detlev Saeger and Hendrik Bergert

Abstract

Background: Pancreatic métastases from renal cell carcinoma (RCC) are clinically rare but highly resectable. The aim of this article is to identify patients who profit from pancreatic resection of RCC despite the invasiveness of the surgery. Methods: Between January 1996 and December 2007, data from 744 patients were collected in a prospective pancreatic surgery database, and patients with metastasis into the pancreas from RCC were identified. Results: Resective surgery was performed in 14 patients with metastasis to the pancreas from RCC. Most patients were clinically asymptomatic. The median interval between primary treatment of RCC and occurrence of pancreatic metastasis was 94 months (range 32–158). The morbidity rate was 42.8%. Patients with a metastasis size 2.5 cm (44 months). Moreover, the number of métastases predicts the survival after resection. Conclusions: In patients with pancreatic métastases from RCC who have only limited disease, complete resection of all lesions can be successfully performed with a low rate of complications. Thus, patients with a history of RCC should be monitored for more than 10 years after nephrectomy to detect recurrence.Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich

Topics: info:eu-repo/classification/ddc/610, ddc:610, Pankreas, Bauchspeicheldrüsen-Resektion, Metastase, Nierenkarzinom, Bauchspeicheldrüse, Pancreas, Renal cell carcinoma, Metastasis, Pancreatic resection
Publisher: 'S. Karger AG'
Year: 2009
DOI identifier: 10.1159/000181174
OAI identifier: oai:qucosa:de:qucosa:27708
Provided by: Qucosa
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