A singular late metastasis of renal cell cancer inside the pancreas. An uncommon pancreatic tumor

We present the rare case of a solitary pancreatic metastasis of renal cell cancer being the only manifestation of tumordissemination. In 1993 the pati ent underwent a transperitoneal nephrectomy for removal of a clear cell ren al cancer. In 1998 during follow up we detected a pancreatic tumor which wa s treated by pancreas resection, splenectomy and resection of the colon tra nsversum. The histology revealed a metastasis of the previously resected re nal cancer. The postoperative recovery was impaired by the development of a n abscess in the farmer pancreatic region. During the first year of follow up we did not find any signs for local or distant tumor recurrence. Pancrea s resection adapted to the location of the tumor is the treatment of choice for isolated solitary late metastases of renal cell cancer.