Background: Clear Cell Renal Cell Carcinoma (ccRCC) can rarely metastasize to the pancreas, particularly in a multifocal pattern, posing diagnostic and therapeutic challenges.
Clinical case: This case report describes a 67-year-old female with a history of radical nephrectomy in 2014 due to renal cell carcinoma who, after ten years, presented with four pancreatic nodules suspected for metastatic recurrence. A total pancreatectomy was performed, achieving clear margins and negative lymph nodes and the suspicion was confirmed. The postoperative course was favorable.
Conclusion: The literature lacks a defined standard for managing such a situation, but selected patients may benefit from curative surgery. This case highlights the late metastatic potential of ccRCC and supports surgical treatment for specific scenarios.
International Journal of Case Reports in Surgery
