A Case of Resected Pancreatic Metastasis from Renal Cell Carcinoma 25 Years after Nephrectomy

2) and Radiology 3) , Asakura Medical Association Hospital An 82-year-old-man, who had undergone left nephrectomy for primary renal cell carcinoma 25 years ago, was under follow-up at our cardiovascular surgery department because of an abdominal aortic aneurysm.Coincidentally, enhanced CT for the aneurysm revealed a pancreatic tumor showing early enhancement in the arterial phase.The patient had no symptoms, and laboratory data, including the endocrine profile, were within normal range.EUS-FNA suggested malignancy.Considering the past history, we considered the tumor as a metastatic pancreatic tumor from renal cell carcinoma.Distal pancreatectomy and splenectomy were therefore performed, and the postoperative course was uneventful.The pathological diagnosis was metastatic pancreatic tumor from clear-cell type renal cell carcinoma.Key words：renal cell carcinoma，pancreatic metastasis，resectable case