Simultaneous Metastasis of the Pancreas and Gallbladder from Renal Cell Carcinoma

Abstract

The importance of this report is to illustrate a simultaneous metastasis of the pancreas and gallbladder from renal cell carcinoma (RCC) which is a unique situation. This is the case of a 75-year-old woman who underwent a nephrectomy a few years ago for renal cell carcinoma in whom a lesion of the tail of the pancreas and a gallbladder polyp were found simultaneously. We decided to proceed with a caudal pancreatectomy and cholecystectomy at the same time. We thought that the pancreatic lesion was a probable metastasis of renal cell carcinoma and that the vesicular polyp was independent of this pathology. Finally, pathological analysis of the surgical specimens concluded pancreatic and gallbladder metastasis of renal cell carcinoma. Incidence of pancreatic metastasis or gallbladder metastasis is rarely noted. Therefore, simultaneous renal cell carcinoma metastasis to the pancreas and gallbladder is an unique situation. Here, we present an unusual case of simultaneous metastasis of the pancreas and gallbladder from renal cell carcinoma, treated by surgery.