肾细胞癌同时发生双侧肾上腺转移。手术意义及文献综述。

Simultaneous bilateral adrenal metastases from renal cell carcinoma. Surgical implications and review of the literature.

作者信息

Yu C C, Huang J K, Tzeng W S, Wu J D, Lee Y H, Jiaan B P

机构信息

Department of Surgery, Veterans General Hospital-Kaohsiung, Taiwan, ROC.

出版信息

Eur Urol. 1992;22(4):335-8. doi: 10.1159/000474782.

DOI:10.1159/000474782

PMID:1490512

Abstract

We report a case of left-side renal cell carcinoma with contemporary bilateral adrenal involvement discovered preoperatively with computerized tomography and other imaging techniques. Surgical treatment consisted of radical nephrectomy with a nearly total contralateral adrenalectomy and the unroofing of a lower pole renal cyst. Postoperative cortisone acetate replacement was instituted. The surgical implications of renal cell carcinoma with metastasis are also discussed.

摘要

我们报告一例左侧肾细胞癌，术前通过计算机断层扫描和其他成像技术发现同时累及双侧肾上腺。手术治疗包括根治性肾切除术、几乎完全切除对侧肾上腺以及切除下极肾囊肿顶部。术后开始使用醋酸可的松替代治疗。还讨论了肾细胞癌伴转移的手术意义。