Pancreatic metastasis from renal cell carcinoma

Case contributed by Natalie Yang
Diagnosis almost certain


Post-nephrectomy status for renal cell carcinoma

Avidly enhancing well-defined lesion in the head and uncinate process of the pancreas, causing distal pancreatic atrophy of the body and tail with main pancreatic duct dilatation. No dilated CBD or intrahepatic biliary tree is seen. 

Surgical clips at the site of previous left nephrectomy. No abnormal soft tissue in the surgical bed.

Several prominent retroperitoneal lymph nodes.  

Case Discussion

Patient with nephrectomy for RCC with hypervascular lesion in the head of the pancreas. Proven histologically to be an RCC met rather than an islet cell tumor

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