title: Partial adrenalectomy for renal cell carcinoma with bilateral adrenal metastases.
abstract: Resection of the adrenal glands precludes participation in many immunotherapy protocols for metastatic renal cell carcinoma. We performed radical nephrectomy with adrenalectomy and contralateral partial adrenalectomy, including adrenal vein ligation for a 4 cm. hilar metastasis without perioperative complications or local recurrence after 30 months. Adrenal function, measured by cosyntropin stimulation tests 6 weeks and 10 months postoperatively, was normal. Partial adrenalectomy with preservation of adrenal function is possible.
authors.affiliation: Division of Urology, University of North Carolina at Chapel Hill.
authors.forename: N S
authors.initials: NS
authors.lastname: Schomer
authors.forename: J L
authors.initials: JL
authors.lastname: Mohler
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D014057:Tomography, X-Ray Computed