PMC4100267_01
Abdominal computed tomography revealed a hypervascular tumor (arrow) in the middle portion of the pancreas in April 2012.
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In April 2011, another single 2 cm hypervascular tumor was detected in the tail of the pancreas on follow-up CT (Figure 1). However the splenic vein was close to the tumor as shown in the CT (Figure 1); we decided to remove the spleen together.
The pancreas was resected approximately 2 cm distal to the tumor (the arrow indicates the tumor and the dashed line indicates the resection line of the pancreas).
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The tumor was located 5 cm from the site of anastomosis in the pancreas and stomach; therefore, we decided to preserve the body of the remnant pancreas as planned (Figure 2).
(a) The macroscopic findings showed a single well-circumscribed tumor in the resected specimen. (b) A histological examination revealed metastasis of renal cell carcinoma with the same features as the previously resected specimen (hematoxylin-eosin stain).
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The tumor was diagnosed pathologically as reflecting pancreatic metastasis of renal cell carcinoma (Figures 3(a) and 3(b)).