SYNCHRONOUS PANCREATIC METASTASES OF A RE NAL-CARCINOMA

A case of a large synchronous metastasis on the pancreas from a clear cell renal carcinoma is presented. The patient presented with melena f rom duodenal ulcer and a palpable mass in the mesogastrium. A radical right nephrectomy and cephalic duodenopancreatectomy were performed. S ix years later bone and retroperitoneal metastasis developed and she d ied one year later. Renal clear cell carcinoma give pancreatic metasta sis in only 1-3% of cases. Only 1-2% of the pancreatic malignancies ar e secondary to renal carcinoma. Clinical and radiological findings are similar to those of primary pancreatic tumors, and hemorrhage is the principal symptom. When the metastasis is single, as in this case, duo deno-pancreatectomy is the treatment of choice.