34 Metastatic Renal Cell Carcinoma to the Pancreas

CASE 34


Clinical Presentation


A 70-year-old man presents with epigastric pain 1 year after left nephrectomy for renal cell carcinoma.




image

Fig. 34.1 Axial contrast-enhanced image in the early arterial phase of enhancement in this patient with left nephrectomy shows a well-defined enhancing hypervascular lesion in the body of the pancreas (arrow).


Radiologic Findings


A well-defined homogeneously enhancing hypervascular lesion is seen in the body of the pancreas anteriorly. Diffuse fatty atrophy of the pancreas is present. Note the surgical clips in the left renal fossa at the location of the left renal vascular pedicle consistent with a past history of nephrectomy for renal cell carcinoma (Fig. 34.1).


Diagnosis


Metastatic renal cell carcinoma to the pancreas


Differential Diagnosis



  • Metastases from known primary
  • Primary pancreatic neoplasms, such as neuroendocrine tumor

Discussion


Background

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Dec 26, 2015 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on 34 Metastatic Renal Cell Carcinoma to the Pancreas

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