Two cases of renal cell carcinoma metastasized to the pancreas and to the gallbladder.
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We report two cases of renal cellcarcinoma meatastasized to the pancreas and to the gallbladder. Case 1: A 65-year-old female patient, who underwent radical right nephrectomy for renal cellcarcinoma 7 years ago, was admitted to our hospital suffering from back pain. On physical and laboratory examination, there were no significant findings except for a diabetic pattern in the glucose tolerance test. Enhanced CT and angiography revealed a relatively well-defined mass at the tail and body of pancreas. Sixty of pancreatectomy with splenectomy was performed. Histological examination revealed pancreatic recurrence of clear cell type renal cell carcinoma. Case 2: A 61-year-old male patient was admitted with the complaint of constipation. There were no abnormal physiological findings, Blood chemistry on admission showed a slight increase in total bilirubin (1.2 mg/dl). Endoscopic retrograde cholangiopancreatography revealed a tumor at the fundus of the gallbladder. Angiogram revealed a hypervascular tumor at the fundus of the gallbladder and the upper pole of the right kidney. Right radical nephrectomy and extended cholecystectomy were performed. Histological examination revealed renal cell carcinoma of the right kidney with a metastatic tumor of the gallbladder.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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