Pancreatic Metastases from Renal Cell Carcinoma Showing Atypical Imaging Findings

A 59-year-old man receiving sunitinib chemotherapy for postoperative recurrence of renal cell carcinoma (RCC) metastases was found to have multiple metastases on contrast-enhanced computed tomography (CECT). CECT revealed a typical hyperdense enhanced nodule in the arterial phase of the stomach and...

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Published in:	Internal Medicine Vol. 63; no. 1; pp. 77 - 81
Main Authors:	Ohashi, Yosuke, Iwata, Keisuke, Mukai, Tsuyoshi, Iwasa, Yuhei, Okuno, Mitsuru, Sugiyama, Akihiko, Nishigaki, Youichi, Tanaka, Takuji, Tomita, Eiichi, Iwashita, Takuji, Shimizu, Masahito
Format:	Journal Article
Language:	English
Published:	Japan The Japanese Society of Internal Medicine 01-01-2024 Japan Science and Technology Agency
Subjects:	Carcinoma, Renal Cell - pathology Case Report Chemotherapy Computed tomography EUS-FNA Humans Internal medicine Kidney Neoplasms - surgery Male Metastases metastatic pancreatic tumor Middle Aged Nodules Pancreas Pancreas - pathology Pancreatectomy Pancreatic carcinoma Pancreatic Neoplasms - pathology Renal cell carcinoma metastatic pancreatic tumor renal cell carcinoma EUS-FNA
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Abstract	A 59-year-old man receiving sunitinib chemotherapy for postoperative recurrence of renal cell carcinoma (RCC) metastases was found to have multiple metastases on contrast-enhanced computed tomography (CECT). CECT revealed a typical hyperdense enhanced nodule in the arterial phase of the stomach and head and tail of the pancreas. However, in the uncinate process of the pancreas, CECT revealed an atypical image and a hypodense enhanced nodule in each phase. Both lesions were finally pathologically diagnosed as clear cell carcinoma. Treatment-modified pancreatic metastases from RCC may present with nonspecific images; therefore, caution is required when deciding on treatment strategies.
AbstractList	A 59-year-old man receiving sunitinib chemotherapy for postoperative recurrence of renal cell carcinoma (RCC) metastases was found to have multiple metastases on contrast-enhanced computed tomography (CECT). CECT revealed a typical hyperdense enhanced nodule in the arterial phase of the stomach and head and tail of the pancreas. However, in the uncinate process of the pancreas, CECT revealed an atypical image and a hypodense enhanced nodule in each phase. Both lesions were finally pathologically diagnosed as clear cell carcinoma. Treatment-modified pancreatic metastases from RCC may present with nonspecific images; therefore, caution is required when deciding on treatment strategies. A 59-year-old man receiving sunitinib chemotherapy for postoperative recurrence of renal cell carcinoma (RCC) metastases was found to have multiple metastases on contrast-enhanced computed tomography (CECT). CECT revealed a typical hyperdense enhanced nodule in the arterial phase of the stomach and head and tail of the pancreas. However, in the uncinate process of the pancreas, CECT revealed an atypical image and a hypodense enhanced nodule in each phase. Both lesions were finally pathologically diagnosed as clear cell carcinoma. Treatment-modified pancreatic metastases from RCC may present with nonspecific images; therefore, caution is required when deciding on treatment strategies.A 59-year-old man receiving sunitinib chemotherapy for postoperative recurrence of renal cell carcinoma (RCC) metastases was found to have multiple metastases on contrast-enhanced computed tomography (CECT). CECT revealed a typical hyperdense enhanced nodule in the arterial phase of the stomach and head and tail of the pancreas. However, in the uncinate process of the pancreas, CECT revealed an atypical image and a hypodense enhanced nodule in each phase. Both lesions were finally pathologically diagnosed as clear cell carcinoma. Treatment-modified pancreatic metastases from RCC may present with nonspecific images; therefore, caution is required when deciding on treatment strategies.
ArticleNumber	1783-23
Author	Tanaka, Takuji Shimizu, Masahito Nishigaki, Youichi Ohashi, Yosuke Iwata, Keisuke Tomita, Eiichi Mukai, Tsuyoshi Sugiyama, Akihiko Iwashita, Takuji Iwasa, Yuhei Okuno, Mitsuru
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SubjectTerms	Carcinoma, Renal Cell - pathology Case Report Chemotherapy Computed tomography EUS-FNA Humans Internal medicine Kidney Neoplasms - surgery Male Metastases metastatic pancreatic tumor Middle Aged Nodules Pancreas Pancreas - pathology Pancreatectomy Pancreatic carcinoma Pancreatic Neoplasms - pathology Renal cell carcinoma
Title	Pancreatic Metastases from Renal Cell Carcinoma Showing Atypical Imaging Findings
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