title: Contralateral adrenal metastasis from renal cell carcinoma with tumor thrombus in the adrenal vein: a case report.
abstract: A 64-year-old woman presented with contralateral right adrenal metastasis with adrenal vein thrombus, which was diagnosed many years after left nephrectomy with adrenalectomy due to renal cell cancer. The patient underwent right adrenalectomy with adrenal vein tumor thrombectomy for treatment. The pathologic examination confirmed metastatic clear cell carcinoma. The remote but existing risk of developing contralateral adrenal metastasis (CAM) after primary radical nephrectomy supports the idea of sparing the adrenal gland in suitable patients who undergo radical nephrectomy. Contralateral adrenal metastasis from RCC is a rare finding with the potential benefit of cure after resection. Care must be taken in preoperative diagnostics, as this metastasis is capable of causing inferior vena cava tumor thrombus via the suprarenal venous route. According to our knowledge, our case is the second similar entity described in literature so far.
authors.affiliation: Department of Urology, Centre of Postgraduate Medical Education, European Health Centre Otwock, Poland.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Piotrowicz
authors.affiliation: Department of Urology, Centre of Postgraduate Medical Education, European Health Centre Otwock, Poland.
authors.forename: Natalia
authors.initials: N
authors.lastname: Muśko
authors.affiliation: Department of Urology, Centre of Postgraduate Medical Education, European Health Centre Otwock, Poland.
authors.forename: Mieszko
authors.initials: M
authors.lastname: Kozikowski
authors.affiliation: Department of Urology, Centre of Postgraduate Medical Education, European Health Centre Otwock, Poland.
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Nyk
authors.affiliation: Department of Urology, Centre of Postgraduate Medical Education, European Health Centre Otwock, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Borówka
authors.affiliation: Department of Urology, Centre of Postgraduate Medical Education, European Health Centre Otwock, Poland.
authors.forename: Jakub
authors.initials: J
authors.lastname: Dobruch
keywords: adrenal metastasis; adrenal vein; contralateral; renal cell carcinoma; tumor thrombus