title: [Ipsilateral adrenalectomy in the surgical treatment of renal carcinoma].
abstract: OBJECTIVE
  To assess the value of ipsilateral adrenalectomy during radical nephrectomy for the treatment of renal cell carcinoma as a function of preoperative computed tomography findings.
  
  
  METHODS
  Between May 1985 and June 1994, 194 patients underwent radical nephrectomy for renal cell carcinoma in our institution. Preoperative radiological reports and postoperative pathological reports were reviewed for 185 patients.
  
  
  RESULTS
  148 patients underwent abdominal computed tomography before surgery. 94 adrenalectomies were performed in this group of patients. None of the 77 patients in whom computed tomography showed a normal adrenal gland had adrenal metastasis on the definitive histological examination. 17 patients had an adrenal mass on computed tomography, 3 of which proved to be neoplastic. Preoperative CT had a sensitivity of 100%, a specificity of 82%, a positive predictive value of 18% and a negative predictive value of 100%. The 185 files reviewed included 114 adrenalectomies, including 4 adrenal glands invaded by renal cell carcinoma (3.5%). In these 4 cases, the smallest diameter of the renal tumour was 4 cm and the minimum pathological stage was T3.
  
  
  CONCLUSIONS
  It therefore appears justified not to perform adrenalectomy during nephrectomy, in the presence of a renal tumour and negative adrenal computed tomography.
authors.affiliation: Hôtel-Dieu de Québec, Canada.
authors.forename: C
authors.initials: C
authors.lastname: Marois
authors.forename: G
authors.initials: G
authors.lastname: Bedard
authors.forename: R
authors.initials: R
authors.lastname: Charrois
authors.forename: Y
authors.initials: Y
authors.lastname: Fradet
authors.forename: A
authors.initials: A
authors.lastname: Naud
authors.forename: M
authors.initials: M
authors.lastname: Gregoire
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D000315:Adrenalectomy; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D009392:Nephrectomy; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed
vernacular_title: La surrénalectomie ipsilatérale dans le traitement chirurgical du carcinome rénal.