[A case of renal cell carcinoma with synchronous contralateral adrenal metastasis].
A 73-year-old female visited our department with right incidentally-found renal tumor, which was revealed by follow-up computed tomography (CT) on an annual physical check-up. CT also showed a left adrenal mass that was 4 cm. Further evaluation suggested right renal cell carcinoma and left adrenal metastasis. The patient, therefore, underwent right-adrenal-gland-sparing radical nephrectomy and left adrenalectomy. The pathology report indicated renal cell carcinoma with contralateral adrenal metastasis. A case of contralateral adrenal metastasis from renal cell carcinoma is not common clinically. Furthermore, whether ipsilateral adrenalectomy should be performed in such a case is still controversial at this stage.
Miyajima
A
A
Department of Urology, National Defence Medical College.
Hayakawa
M
M
Uwatoko
N
N
Nakajima
F
F
Nakamura
H
H
D000310:Adrenal Gland Neoplasms / Q000556:secondary* / Q000601:surgery; D000315:Adrenalectomy; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D009392:Nephrectomy