A RESECTED CASE OF SYNCHRONOUS DOUBLE CANCER FOUND AT THE PANCREAS AND KIDNEY

A 55-year-old male was admitted to the hospital because of obstructive jaundice. Percutaneous transhepatic cholangio-drainage was performed and cholanigography showed an irregular stenosis of the common bile duct, indicating a pancreatic cancer. Ultrasonography, computed tomography and angiography indicated a tumor in the lower part of the right kidney, suggesting a renal cancer. Pancreatoduodenectomy and right nephrectomy were carried out simultaneously under a diagnosis of synchronas double cancer of the pancreas and kidney. Pathologically, the tumor of the pancreas was well differentiated tubular carcinoma, and another tumor of the right kidney was renal cell carcinoma (clear cell subtype). Postoperative course has been uneventful up to 16 months after the operation. Double cancers including pancretic cancer have been reported in about 10% of all pancreatic cancers. However, double cancer found at the pancreas and kidney is uncommon. Only seven cases have been reported in the literature so far. In this paper, a case of synchronous double cancer found at the pancreas and kidney is presented with a review of the literature.