Simultaneous bilateral adrenal metastases from renal cell carcinoma. Surgical implications and review of the literature.
We report a case of left-side renal cell carcinoma with contemporary bilateral adrenal involvement discovered preoperatively with computerized tomography and other imaging techniques. Surgical treatment consisted of radical nephrectomy with a nearly total contralateral adrenalectomy and the unroofing of a lower pole renal cyst. Postoperative cortisone acetate replacement was instituted. The surgical implications of renal cell carcinoma with metastasis are also discussed.
Yu
C C
CC
Department of Surgery, Veterans General Hospital-Kaohsiung, Taiwan, ROC.
Huang
J K
JK
Tzeng
W S
WS
Wu
J D
JD
Lee
Y H
YH
Jiaan
B P
BP
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008297:Male