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Pancreatic metastasis of renal cell carcinoma filling into the duct of Santorini

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Abstract

A 78-year-old man who underwent right nephrectomy for renal cell carcinoma (RCC) 18 years ago visited our hospital complaining of abdominal pain. Imaging revealed that the pancreatic head tumor obstructed the Santorini duct. We suspected a pancreatic intraductal tumor, such as an intraductal tubulopapillary neoplasm or intraductal papillary mucinous neoplasm. Thus, the patient underwent subtotal stomach-preserving pancreaticoduodenectomy. Pathological findings confirmed the diagnosis of metastatic RCC. Herein, we report a case of pancreatic metastasis of an RCC that presented with a tumor in the pancreatic duct.

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Acknowledgement

This work supported by JSPS KAKENHI Grant Number JP 19K07938 (A.S.).

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Authors and Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan

    Yasutaka Yamada, Arata Sakai, Shohei Abe, Masanori Gonda, Takashi Kobayashi, Atsuhiro Masuda, Hideyuki Shiomi & Yuzo Kodama

  2. Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan

    Sachiyo Shirakawa & Hirochika Toyama

  3. Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, 650-0017, Japan

    Toshiki Hyodo, Maki Kanzawa & Tomoo Itoh

Authors
  1. Yasutaka Yamada
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  2. Arata Sakai
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  3. Shohei Abe
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  4. Masanori Gonda
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  5. Takashi Kobayashi
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  6. Atsuhiro Masuda
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  7. Hideyuki Shiomi
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  8. Sachiyo Shirakawa
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  9. Hirochika Toyama
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  10. Toshiki Hyodo
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  11. Maki Kanzawa
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  12. Tomoo Itoh
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  13. Yuzo Kodama
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Corresponding author

Correspondence to Arata Sakai.

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Conflict of interest

Yasutaka Yamada, Arata Sakai, Shohei Abe, Masanori Gonda, Takashi Kobayashi, Atsuhiro Masuda, Hideyuki Shiomi,Sachiyo Shirakawa, Hirochika Toyama, Toshiki Hyodo, Maki Kanzawa, Tomoo Itoh, and Yuzo Kodama declare that they have no conflict of interest.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Yamada, Y., Sakai, A., Abe, S. et al. Pancreatic metastasis of renal cell carcinoma filling into the duct of Santorini. Clin J Gastroenterol 14, 905–909 (2021). https://doi.org/10.1007/s12328-021-01369-8

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  • DOI: https://doi.org/10.1007/s12328-021-01369-8

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