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Korean J Pancreas Biliary Tract > Volume 4(2):1999 > Article
The Korean Journal of Pancreas and Biliary Tract 1999;4(2):122-128.
신세포암의 십이지장 및 췌장 전이 1예
이충렬, 박승우, 정재복, 이진헌, 송시영, 김성규, 강진경
연세대학교 의과대학 내과학교실, 소화기병연구소
Late Periampullary Metastasis of Renal Cell Carcinoma
Chung Ryul Lee, Seung Woo Park, Jae Bock Chung, Jin Heon Lee, Si Young Song, Sung Kyu Kim, Jin Kyung Kang
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
Corresponding author:  Jae Bock Chung, Tel: 02-361-5410 , Fax: 02-363-7690 , 
Metastases to pancreas or duodenum are rarely occurring event. At autopsy, the pancreas has been found to be the site of metastases in approximately 2% of patients with malignant tumors that had originated most commonly from primary tumors located in breast, lung, and kidney. The natural history of renal cell carcinoma has been the subject of intensive study, yet its behavior remains unpredictable and poorly understood. Renal cell carcinoma may remain stable for long periods of time without growing or metastasizing, has the second highest spontaneous regression rate of all solid tumors, and metastases may develop many years after removal of the primary lesion. In patients with pancreatic mass, it is important to differentiate a secondary pancreatic tumor from primary one because satisfactory survival can be expected after surgical excision of secondary pancreatic tumor, especially when the primary tumor is renal cell carcinoma. Recently magnetic resonance image was reported to be useful in differentiating primary from secondary pancreatic tumor originated from kidney. We present a case of resectable solitary pancreatic and duodenal metastasis from renal cell carcinoma presenting as gastrointestinal bleed.
Keywords: Renal cell carcinoma, Periampullary metastasis, Gastrointestinal bleeding
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A Case of Duodenal Metastasis from Squamous Cell Carcinoma of the Uterine Cervix  2015 April;20(2)
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