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Pancreatic metastasis from renal cell carcinoma with intraportal tumor thrombus.

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Title: Pancreatic metastasis from renal cell carcinoma with intraportal tumor thrombus.
Authors: Kawakami, Hiroshi Browse this author
Kuwatani, Masaki Browse this author
Yamato, Hiroaki Browse this author
Shinada, Keisuke Browse this author
Hirano, Satoshi Browse this author
Kondo, Satoshi Browse this author
Yonemori, Atsuya Browse this author
Matsuno, Yoshihiro Browse this author
Asaka, Masahiro Browse this author
Keywords: Renal cell carcinoma
Pancreatic metastasis
Portal venous tumor thrombus
Intraportal growth
Endoscopic ultrasound-guided fine-needle aspiration biopsy
Issue Date: 2008
Journal Title: Internal medicine
Volume: 47
Issue: 22
Start Page: 1967
End Page: 1970
Publisher DOI: 10.2169/internalmedicine.47.1418
PMID: 19015609
Abstract: A 68-year-old woman with a history of renal cell carcinoma (RCC) resected curatively 12 years previously was admitted to our department for scrutiny of pancreatic tumors. Various imaging studies demonstrated heterogeneously well-enhanced masses in the head and tail of the pancreas. The well-enhanced mass in the head of the pancreas was connected with the tumor thrombus in the portal vein. To differentially diagnose the multiple pancreatic lesions, we performed endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB). Histopathologic findings of the EUS-FNAB specimens were similar to those of the renal clear cell carcinoma previously resected. The patient underwent a surgical operation with segmental resection of the portal vein with the preoperative diagnosis of RCC metastasis to the pancreas with intraportal growth. Histopathological examination of the resected specimen revealed that the masses in the pancreas were multiple pancreatic metastases with intraportal tumor thrombus of RCC. The pancreas is a rare target for metastasis. This is a rare case of pancreatic metastasis from RCC with intraportal extension, and is the first preoperatively definitely diagnosed case using EUS-FNAB.
Type: article (author version)
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 河上 洋

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