Synchronous pancreatic metastasis of renal carcinoma

: A case of a large synchronous metastasis on the pancreas from a clear cell renal carcinoma is presented. The patient presented with melena from duodenal ulcer and a palpable mass in the mesogastrium. A radical right nephrectomy and cephalic duodenopancreatectomy were performed. Six years later bone and retroperitoneal metastasis developed and she died one year later. Renal clear cell carcinoma give pancreatic metastasis in only 1-3% of cases. Only 1-2% of the pancreatic malignancies are secondary to renal carcinoma. Clinical and radiological findings are similar to those of primary pancreatic tumors, and hemorrhage is the principal symptom. When the metastasis is single, as in this case, duodeno-pancreatectomy is the treatment of choice.