Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000200006 |
Resumo: | A 64-year-old man with a renal cell carcinoma (RCC) underwent right nephrectomy. There was no identifiable recurrence during follow-up. Six years after surgery he presented with melena and ferropenic anaemia. Endoscopic evaluation demonstrated a vascular lesion in duodenum and haemostasis was performed. However, the bleeding recurred and further endoscopies revealed an enlarged multilobulated infiltrative and ulcerative lesion over the duodenum bulb. Histological and imagiological investigations were, even so, suggestive of a vascular lesion adjacent to the duodenal wall. Given the uncertain diagnosis and recurrent bleeding a surgical resection was deemed unavoidable. A cephalic duodenopancreatectomy was performed and histologic evaluation revealed an intrapancreatic RCC metastasis with duodenal infiltration. No evidence of recurrence after 12 months was observed. In conclusion, RCC metastasis should be considered in patients with a pancreatic mass as it gives the past history of RCC. Awareness of this entity and a high index of suspicion would help in proper diagnosis and treatment. |
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Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleedingRenal cell carcinomaIntrapancreatic metastasisDuodenal bleedingA 64-year-old man with a renal cell carcinoma (RCC) underwent right nephrectomy. There was no identifiable recurrence during follow-up. Six years after surgery he presented with melena and ferropenic anaemia. Endoscopic evaluation demonstrated a vascular lesion in duodenum and haemostasis was performed. However, the bleeding recurred and further endoscopies revealed an enlarged multilobulated infiltrative and ulcerative lesion over the duodenum bulb. Histological and imagiological investigations were, even so, suggestive of a vascular lesion adjacent to the duodenal wall. Given the uncertain diagnosis and recurrent bleeding a surgical resection was deemed unavoidable. A cephalic duodenopancreatectomy was performed and histologic evaluation revealed an intrapancreatic RCC metastasis with duodenal infiltration. No evidence of recurrence after 12 months was observed. In conclusion, RCC metastasis should be considered in patients with a pancreatic mass as it gives the past history of RCC. Awareness of this entity and a high index of suspicion would help in proper diagnosis and treatment.Sociedade Portuguesa de Gastrenterologia2014-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000200006Jornal Português de Gastrenterologia v.21 n.2 2014reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000200006Correia,Tito MiguelAlmeida,Nuno MiguelTorres-Oliveira,Ana IsabelVelez,AnaOliveira,PedroCipriano,Maria AugustaDias,NunoRico-Sofia,Carlos Manuelinfo:eu-repo/semantics/openAccess2024-02-06T17:09:21Zoai:scielo:S0872-81782014000200006Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:21:22.842118Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding |
title |
Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding |
spellingShingle |
Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding Correia,Tito Miguel Renal cell carcinoma Intrapancreatic metastasis Duodenal bleeding |
title_short |
Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding |
title_full |
Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding |
title_fullStr |
Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding |
title_full_unstemmed |
Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding |
title_sort |
Pancreatic metastasis from renal cell carcinoma: A different cause for recurrent duodenal bleeding |
author |
Correia,Tito Miguel |
author_facet |
Correia,Tito Miguel Almeida,Nuno Miguel Torres-Oliveira,Ana Isabel Velez,Ana Oliveira,Pedro Cipriano,Maria Augusta Dias,Nuno Rico-Sofia,Carlos Manuel |
author_role |
author |
author2 |
Almeida,Nuno Miguel Torres-Oliveira,Ana Isabel Velez,Ana Oliveira,Pedro Cipriano,Maria Augusta Dias,Nuno Rico-Sofia,Carlos Manuel |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Correia,Tito Miguel Almeida,Nuno Miguel Torres-Oliveira,Ana Isabel Velez,Ana Oliveira,Pedro Cipriano,Maria Augusta Dias,Nuno Rico-Sofia,Carlos Manuel |
dc.subject.por.fl_str_mv |
Renal cell carcinoma Intrapancreatic metastasis Duodenal bleeding |
topic |
Renal cell carcinoma Intrapancreatic metastasis Duodenal bleeding |
description |
A 64-year-old man with a renal cell carcinoma (RCC) underwent right nephrectomy. There was no identifiable recurrence during follow-up. Six years after surgery he presented with melena and ferropenic anaemia. Endoscopic evaluation demonstrated a vascular lesion in duodenum and haemostasis was performed. However, the bleeding recurred and further endoscopies revealed an enlarged multilobulated infiltrative and ulcerative lesion over the duodenum bulb. Histological and imagiological investigations were, even so, suggestive of a vascular lesion adjacent to the duodenal wall. Given the uncertain diagnosis and recurrent bleeding a surgical resection was deemed unavoidable. A cephalic duodenopancreatectomy was performed and histologic evaluation revealed an intrapancreatic RCC metastasis with duodenal infiltration. No evidence of recurrence after 12 months was observed. In conclusion, RCC metastasis should be considered in patients with a pancreatic mass as it gives the past history of RCC. Awareness of this entity and a high index of suspicion would help in proper diagnosis and treatment. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-04-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000200006 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000200006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-81782014000200006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
Jornal Português de Gastrenterologia v.21 n.2 2014 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799137300016267264 |