Ertl C W, Darras F S
Department of Surgery, University of Illinois College of Medicine at Peoria, Illinois, USA.
Urology. 1999 Jul;54(1):162. doi: 10.1016/s0090-4295(98)00565-2.
Malignant involvement of the contralateral adrenal gland in cases of renal cell carcinoma is extremely rare. We report a case of solitary metachronous contralateral adrenal metastasis occurring 7.5 years after radical nephrectomy. The metastasis was treated with adrenalectomy and steroid replacement. Thirty months later, the patient remained without evidence of disease. This very rare presentation can prove to be a diagnostic challenge. Appropriate aggressive surgical treatment is warranted.
肾细胞癌患者中对侧肾上腺发生恶性累及极为罕见。我们报告一例在根治性肾切除术后7.5年出现的孤立性异时性对侧肾上腺转移病例。该转移灶接受了肾上腺切除术及类固醇替代治疗。30个月后，患者无疾病证据。这种非常罕见的表现可能是一个诊断难题。有必要进行适当积极的手术治疗。
