AIM: The pancreas is a preferred site of @entity3 from @entity1358 ( @entity1358 ), that may occur even after many years from a radical nephrectomy. Surgical R0 resection remains the only potentially curative treatment for @entity5 . The possibility of a multifocality of the lesions (20-45%) must be considered. MATERIAL OF STUDY: We report a case of metachronous pancreatic @entity3 from @entity1358 that occurred twice. After five years from a right polar inferior nephrectomy for a @entity1358 , two nodular lesions were identified in the body-tail of the pancreas and were treated with distal pancreatectomy and splenectomy. After six months the CT imaging revealed a nodular lesion of few millimeters in the residual pancreatic body; we followed the slow growth and in October 2012, when the size reached 2 cm, the @entity1 was operated to remove the residual portion of pancreatic body. After 16 months of follow-up the @entity1 is well and there isn't relapse of disease. DISCUSSION: @entity1 with metachronous @entity660 represent a particular group with a more indolent course of @entity1358 , the appearance of @entity3 after a prolonged interval from nephrectomy is related to a more favorable prognosis. Radical lymph-node dissection is not necessary for the uncommon involvement of peripancreatic nodes, condition that explains the positive outcomes achieved with surgery. CONCLUSION: @entity1 with resected @entity3 present an 88% survival rate at 5 years versus 47% observed in nonoperated @entity1 ; studies provide encouraging results in survival and quality of life of surgically treated @entity1 . KEY WORDS: Metachronous @entity3 , Pancreatic @entity3 , @entity1358 .

Relapsed metachronous pancreatic @entity3 from XXXX ( @entity1358 ) Report of a case and review of literature.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['solitary tumor'] @entity660 :: ('MESH:D010182', 'Disease') :: ['pancreatic lesions'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['renal cell carcinoma', 'Renal cell carcinoma', 'RCC'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis', 'metastases']
@entity1358 :: (MESH:D002292,Disease) :: ['renal cell carcinoma']
