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01.12.2015 | Case report | Ausgabe 1/2015 Open Access

BMC Surgery 1/2015

A case report of a solitary pancreatic metastasis of an adrenocortical carcinoma

BMC Surgery > Ausgabe 1/2015
Johannes Baur, Ulla Schedelbeck, Alina Pulzer, Christina Bluemel, Vanessa Wild, Martin Fassnacht, U. Steger
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

JB was involved in postoperative care of the patient after pancreatic resection, wrote the case report, made literature review and drafted the manuscript. US and CB were the main persons involved in preoperative detection of pancreatic mass and revised the manuscript. MF and AP were involved in diagnosis, adjuvant treatment and follow-up before and after resection of primary tumor and metastasis to the pancreas. Both revised the paper. VW performed conventional and immunohistochemical staining of pancreatic ACC metastasis and revised the manuscript. US performed pancreatic resection, was involved in postoperative care of the patient and revised the manuscript. All authors read and approved the final manuscript.



Solitary metastases to the pancreas are rare. Therefore the value of resection in curative intention remains unclear. In the literature there are several promising reports about resection of solitary metastasis to the pancreas mainly of renal origin.

Case presentation

Here we report for the first time on the surgical therapy of a 1.5 cm solitary pancreatic metastasis of an adrenocortical carcinoma. The metastasis occurred almost 6 years after resection of the primary tumor. A partial pancreatoduodenectomy was performed and postoperatively adjuvant mitotane treatment was initiated. During the follow-up of 3 years after surgery no evidence of tumor recurrence occurred.


Resection of pancreatic tumors should be considered, even if the mass is suspicious for metastatic disease including recurrence of adrenocortical cancer.
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