Abstract
Metastases in the pancreas are rather rare tumor lesion of this organ. According to different data, the incidence of metastatic pancreatic lesions varies from 1.8 to 4% of all pancreatictumors.The article presents three clinical observations of metastases of melanoma, renal clearcell cancer, lung cancer in the pancreas. All patients were treatedusing cryosurgical methods with positive dynamics in the postoperative period.A brief review of the literature discussing metastatic lesions of the pancreas is also done, and the management treatment tactics of these patients is described.
Highlights
Metastases to the pancreas are a rather rare oncological lesion of this organ
When analyzing the median survival rate of patients in the second group, there were no significant differences in the results of patients who underwent radical surgery and patients who underwent cryodestruction
When identifying focal changes in the pancreas and making a preliminary diagnosis, it is necessary to take into account medical history, since metastatic damage to the pancreas may occur in the long term after detection of the primary tumor
Summary
Metastases to the pancreas are a rather rare oncological lesion of this organ. According to the literature data, frequency of metastatic neoplasms in the pancreas varies from 1.8% to 4% among all pancreatic neoplasms [1, 2]. It was decided to carry out cryodestruction of metastasis in the head of the pancreas in the patient with a single kidney and renal failure, considering the solitary nature of the lesion and its localization. MRI of the abdominal organs after 18 months: in the head of the pancreas, a zone of the altered signal 21 mm in size, with clear contours, moderately limiting diffusion according to DWI, ADC (ADC values 1–1.2 mm2/s), adjacent to the pancreatic duct, was determined. According to the control CT in 3 months at A.V. Vishnevsky NMRS of Surgery: the formation in the pancreas did not increase in size in comparison with the preoperative data, the degree of local prevalence remained the same (Fig. 10). The size of the formation and the degree of local prevalence remained the same, when the cryodestruction zone was observed dynamically after 3 months
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