Adrenal metastasis with inferior vena cava tumor thrombus through adrenal vein.
A 69-year-old woman was evaluated for anemia. Abdominal ultrasonography showed a large right renal mass. Magnetic resonance imaging revealed a 12-cm renal mass and a separate 7.5-cm ipsilateral adrenal mass, with a tumor thrombus extending through the adrenal vein and into the inferior vena cava. Right radical nephrectomy/adrenalectomy with caval tumor thrombectomy was performed, and both lesions were diagnosed as renal cell carcinoma. We report on an unusual case of a large renal cell carcinoma with metastasis to the adrenal gland and vena caval extension by way of the adrenal venous system, without renal vein thrombus.
Rosenblatt
Gregory S
GS
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA. grrosen@aol.com
Takesita
Ken
K
Fuchs
Gerhard J
GJ
Colquhoun
Steven D
SD
Ng
Christopher S
CS
D000310:Adrenal Gland Neoplasms / Q000556:secondary*; D000311:Adrenal Glands / Q000098:blood supply*; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D014682:Vena Cava, Inferior / Q000473:pathology*