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

Figure 4 Treatment and outcome of further pancreas recurrence. The contrast-enhanced computerized tomography scan shows a pancreatic metastasis (PaM) measuring 10 mm in the head of the pancreas (orange full arrow) (A). The patient underwent pancreatoduodenectomy (B); the PaM is indicated in the specimen (white full arrow). Pathological examination revealed multiple intrapancreatic nodules of metastatic clear-cell renal cell carcinoma, without nodal involvement, and with negative surgical margins.