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Pancreatic metastasis from renal cell carcinoma with intraportal tumor thrombus.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kawakami, Hiroshi Kuwatani, Masaki Yamato, Hiroaki Shinada, Keisuke Hirano, Satoshi Kondo, Satoshi Yonemori, Atsuya Matsuno, Yoshihiro Asaka, Masahiro |
| Copyright Year | 2008 |
| 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. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://eprints.lib.hokudai.ac.jp/dspace/bitstream/2115/47169/1/IM47-22_1967-1970.pdf |
| Alternate Webpage(s) | http://eprints.lib.hokudai.ac.jp/dspace/bitstream/2115/47169/1/IM47-22_1967-1970.pdf |
| PubMed reference number | 19015609v1 |
| Volume Number | 47 |
| Issue Number | 22 |
| Journal | Internal medicine |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Adenocarcinoma, Clear Cell Biliopancreatic Diversion Conventional (Clear Cell) Renal Cell Carcinoma Endoscopic Retrograde Cholangiopancreatography Endoscopic Ultrasound Endoscopic Ultrasound-Guided Fine Needle Aspiration Epithelial cell of renal tubule Excision Fine needle aspiration biopsy Histopathology Neoplasms Nephroblastoma Pancreas extract Pancreatic Neoplasm Patients Portal vein structure Puncture biopsy Segmentectomy Specimen Tail of pancreas lung metastases metastatic pancreas cancer |
| Content Type | Text |
| Resource Type | Article |
