Metastasis to the pancreas from a distant primary cancer is uncommon, most
cases being detected in the advanced stages of disease, often multiple in n
umber, and diffusely displayed beyond surgical salvage. A solitary metastas
is in the head of the pancreas is rarely encountered and although potential
ly amenable to surgical resection, surgeons are hesitant to perform pancrea
ticoduodenectomy for metastatic disease, Renal cell carcinoma is one malign
ancy with a propensity to metastasize to the pancreas. We report herein the
case of a solitary pancreatic metastasis from renal cell carcinoma success
fully treated by pancreaticoduodenectomy in a middle-aged man. A discussion
on the indications and effectiveness of performing pancreaticoduodenectomy
for metastatic renal cell carcinoma is also presented.