Mignon F, Mesurolle B, Sissakian J F, Bruckert F, Guichoux F, Barré O, Chagnon S, Lacombe P
Service de Radiologie, Hôpital Ambroise Paré, Boulogne.
J Radiol. 1999 Sep;80(9):939-42.
We report a case of metachronous metastasis from renal cell carcinoma to the contralateral adrenal gland detected one year after radical nephrectomy. The initial tumor was incidentally discovered in the setting of acute aortic dissection. A large left adrenal tumor was detected on CT follow-up at two years. Retrospectively, a hypervascular lesion was present on the first yearly CT examination. Adrenalectomy was performed. There is no evidence of recurrent disease at 12 months. The patient was also treated with oral steroids. Because of their location and of the particularities of available therapeutic options, and because these metastases can occur late, long-term sonographic and CT follow-up should be performed. The clinical, imaging, therapeutic and prognostic aspects of these lesions will be discussed.
我们报告一例肾细胞癌异时性转移至对侧肾上腺的病例，该病例在根治性肾切除术后一年被发现。最初的肿瘤是在急性主动脉夹层的情况下偶然发现的。两年后的CT随访发现左肾上腺有一个大肿瘤。回顾性分析，首次年度CT检查时就存在一个高血运病变。患者接受了肾上腺切除术。12个月时没有疾病复发的证据。患者还接受了口服类固醇治疗。由于这些转移瘤的位置、可用治疗选择的特殊性，以及它们可能发生在晚期，因此应进行长期的超声和CT随访。将对这些病变的临床、影像学、治疗及预后方面进行讨论。
