Long-term Survival of Patient with Ampulla of Vater Metastasis of Renal Cell Carcinoma.

Prague Med Rep 2018;119(4):165-169

Department of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Ampulla of Vater metastases from renal cell carcinoma are rare. The time between detection of the primary tumour and its metastasis may extend to years. Management should be aggressive, since the prognosis of renal cell carcinoma is unpredictable and curative surgery of metastases may extend patient survival and even lead to definite cure. Herein we report a case of long-term survival after successful surgical treatment of a renal cell carcinoma metastasis to the ampulla of Vater. A 62-year-old man with a history of renal cell carcinoma in the left kidney underwent a successful left nephrectomy. Eight months later duodenoscopy showed a tumour at the site of papilla of Vater. Biopsy confirmed the diagnosis of carcinoma. Contrast enhanced computer tomography scan verified the periampullary mass, dilatation of the pancreatic and the common bile duct. No radiological signs of either local advancement or distant metastases were present. Pylorus-preserving pancreatoduodenectomy with lymphadenectomy was performed. Pathology report disclosed metastatic lesions in the papilla of Vater from the clear cell carcinoma of the kidney. The postoperative course was uneventful, and the patient lived for 14 years after pancreatoduodenectomy and, following thorough investigations, was free from local and systemic recurrence. Pancreatoduodenectomy can provide long-term survival in selected cases with solitary papilla of Vater metastasis from renal cell carcinoma. Favourable long-term survival rates suggest that these patients should be considered candidates for pancreatoduodenectomy if experienced pancreatic surgeon is available and no other metastases are found.

Download full-text PDF

Source
http://dx.doi.org/10.14712/23362936.2019.4DOI Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
April 2019
3 Reads

Publication Analysis

Top Keywords

cell carcinoma
28
renal cell
24
long-term survival
16
ampulla vater
12
papilla vater
12
vater metastasis
8
metastasis renal
8
carcinoma
8
cell
7
renal
6
vater
6
radiological signs
4
signs local
4
local advancement
4
duct radiological
4
pancreatic common
4
dilatation pancreatic
4
advancement distant
4
common bile
4
bile duct
4

Similar Publications