Renal cell carcinoma metastatic to the duodenum: Treatment by classic pancreaticoduodenectomy and review of the literature

Robert Adamo, Patrick J. Greaney, Agnieszka Witkiewicz, Eugene P. Kennedy, Charles J. Yeo

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Renal cell cancer (RCC) most commonly metastasizes to the lungs, bones, liver, renal fossa, and brain, although metastases can occur elsewhere. RCC metastatic to the duodenum is especially rare, with only a small number of cases reported in the literature. Herein, we describe a case of an 86-year-old woman with a history of RCC treated by radical nephrectomy 13 years previously. The patient presented with duodenal obstruction and anemia from a solitary duodenal mass invading into the pancreas and was treated via classic pancreaticoduodenectomy. Preoperative imaging and intra-operative assessment showed no evidence of other disease. Pathology confirmed metastatic RCC without lymph node involvement. Our case report and review of the English language literature underscore the rarity of this entity and support aggressive surgical treatment in such patients.

Original languageEnglish (US)
Pages (from-to)1465-1468
Number of pages4
JournalJournal of Gastrointestinal Surgery
Volume12
Issue number8
DOIs
StatePublished - Aug 2008

Keywords

  • Duodenum
  • Metastases
  • Pancreaticoduodenectomy
  • Renal cell carcinoma

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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