Pancreatic Metastases from Renal Cell Carcinoma 12 Years after Nephrectomy: A Case Report

腎細胞癌手術切除後十二年出現胰臟轉移：病例報告

陳甫倫(Fu-Luen Chen) ； 李潤川(Rheun-Chuan Lee) ； 姜仁惠(Jen-Huey Chiang) ； 王家槐(Jia-Hwia Wang) ； 蘇正熙(Cheng-Shi Su) ； 龔士雅(Shih-Ya Kung) ； 李芬瑤(Anna Fen-Yao Li) ； 張政彥(Cheng-Yen Chang)

《中華放射線醫學雜誌》 30卷3期 (2005/06) Pp. 193-197

摘要

腎細胞癌很少轉移到胰臟。本文報告一名七十七歲女性腎細胞癌患者於手術切除腎臟十二年後出現胰臟轉移，並描述其影像學之表現。轉移的腫瘤在靜脈注射對比劑後的動脈相電腦斷層掃描中呈現強烈的顯影，表示其高血管性的特徵。其血管攝影亦顯示出其高血管性。腎細胞癌即使已手術切除十年以上，仍需特別注意其轉移的可能性，並在常規追蹤中應用對比劑顯影之動態影像學檢查來偵測可能的轉移病灶。

關鍵字

胰臟轉移 ； 胰臟，電腦斷層 ； 腎腫瘤

並列摘要

Metastasis of renal cell carcinoma to the pancreas is uncommon. We present the case of a 77-year-old woman with pancreatic metastases from renal cell carcinoma, found 12 years after nephrectomy, and describe our radiologic findings. The metastatic tumors revealed intense enhancement on arterial phase CT scan after intravenous contrast medium administration, indicative of hypervascular characteristics. It also showed intense vascular blush on angiography. Special attention should be paid to the possibility of renal cell carcinoma metastases even more than 10 years after surgery, and contrast-enhanced dynamic imaging studies should be employed during routine follow-up to detect the metastatic lesions.

並列關鍵字

Pancreas, CT ； Pancreas, metastases ； Kidney neoplasms