Case report describes synchronous duodenal and pancreatic metastases 18 years post-nephrectomy, highlighting the role of complete surgical resection.
A 63‐year‐old man presented with melena and severe anemia 18 years after nephrectomy for clear cell renal cell carcinoma. Imaging and biopsy confirmed duodenal and pancreatic metastases mimicking pancreaticobiliary malignancy. He underwent pancreaticoduodenectomy. This case highlights delayed RCC recurrence and the role of complete resection despite significant perioperative morbidity.
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Kulkarni et al. (2026) studied this question.
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