Twenty-year survival after iterative surgery for metastatic renal cell carcinoma: A case report and review of literature

Figure 2 Treatment and outcome of pancreas recurrence. The contrast-enhanced computerized tomography (CECT) shows a pancreatic metastasis (PaM) measuring 55 mm × 35 mm (A) in the body of the pancreas (orange full arrows), with upstream main pancreatic duct dilatation (orange dotted arrows) and parenchymal atrophy. The CECT performed 5 mo later, after systemic therapy with oral sunitinib, demonstrates a significant volumetric reduction of the PaM (B), which shrunk to 41 mm × 27 mm (orange full arrows). The patient underwent distal pancreatectomy with splenectomy (C).