British journal of surgery · 2003 · 156 citations · 16 references
MedicineOncologySurgeryMetastasisOncologic SurgerySurgical OncologyKidney CancerMalignant NeoplasmsMalignant TumorsPancreatic CancerRenal Cell CarcinomaRenal NeoplasmsLimited ResectionMetastatic Pancreatic CancerPancreatic Cancer ResectionPancreatic MetastasesRadical ResectionRecurrenceRecurrence Rate AnalysisRenal Cell Carcinoma Surgery
BACKGROUND: Pancreatic metastases from renal cell carcinoma are rare but highly resectable. The aim of this study was to review a series of patients with this condition. METHODS: The study involved 22 consecutive patients with histologically proven pancreatic metastases from renal cell cancer. RESULTS: Seventeen of the 22 patients had surgery. No patient died but eight of the 17 patients had a postoperative complication. Median follow-up was 33 (range 1-96) months. The 24- and 60-month survival probabilities were 0.84 and 0.53 respectively. Five patients who did not undergo surgery had 24- and 60-month survival probabilities of 0.53 and 0.26 respectively. The difference between the two groups was significant (P = 0.040). CONCLUSION: Despite the slow development of these secondaries and their well encapsulated morphology, the high rate of recurrence after limited resection suggests that radical resection should be recommended.
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CT characteristics of metastatic disease of the pancreas.
Konrad Klein, D H Stephens, Tasha L. Welch · Radiographics · 1998 · 176 citations