Metastatic renal cell carcinoma to the pancreas: a review

SKH Cheng, KL Chuah - Archives of pathology & …, 2016 - meridian.allenpress.com
SKH Cheng, KL Chuah
Archives of pathology & laboratory medicine, 2016meridian.allenpress.com
The pancreas is an unusual site for tumor metastasis, accounting for only 2% to 5% of all
malignancies affecting the pancreas. The more common metastases affecting the pancreas
include renal cell carcinomas, melanomas, colorectal carcinomas, breast carcinomas, and
sarcomas. Although pancreatic involvement by nonrenal malignancies indicates widespread
systemic disease, metastatic renal cell carcinoma to the pancreas often represents an
isolated event and is thus amenable to surgical resection, which is associated with long-term …
The pancreas is an unusual site for tumor metastasis, accounting for only 2% to 5% of all malignancies affecting the pancreas. The more common metastases affecting the pancreas include renal cell carcinomas, melanomas, colorectal carcinomas, breast carcinomas, and sarcomas. Although pancreatic involvement by nonrenal malignancies indicates widespread systemic disease, metastatic renal cell carcinoma to the pancreas often represents an isolated event and is thus amenable to surgical resection, which is associated with long-term survival. As such, it is important to accurately diagnose pancreatic involvement by metastatic renal cell carcinoma on histology, especially given that renal cell carcinoma metastasis may manifest more than a decade after its initial presentation and diagnosis. In this review, we discuss the clinicopathologic findings of isolated renal cell carcinoma metastases of the pancreas, with special emphasis on separating metastatic renal cell carcinoma and its various differential diagnoses in the pancreas.
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