Yamada Atsushi, Tanaka Masahiro, Yoshikawa Motokiyo, Nakai Yasushi, Tanaka Nobumichi, Fujimoto Kiyohide, Hirao Yoshihiko, Hirao Shuya
Department of Urology, Nara Medical University.
Hinyokika Kiyo. 2008 Mar;54(3):225-8.
We report a case of renal cell carcinoma with bilateral adrenal metastases. A 57-year-old man was admitted to our hospital for a left renal mass. Computerized tomography and magnetic resonance imaging revealed a 4.5 cm left renal tumor and bilateral adrenal masses (3.0 cm on the right side and 2.0 cm on the left). A left nephrectomy and bilateral adrenalectomies were performed. The pathological findings showed clear cell carcinoma, G2 of left kidney metastasizing to both adrenal glands. The patient was administered supplementary hydrocortisone and was well 8 months after the nephrectomy and adrenalectomies without evidence of recurrence. Bilateral adrenal metastases from renal cell carcinoma are relatively rare. Our case seems to be the thirteenth case in the Japanese literature.
我们报告一例伴有双侧肾上腺转移的肾细胞癌病例。一名57岁男性因左侧肾脏肿物入住我院。计算机断层扫描和磁共振成像显示左侧肾脏有一个4.5厘米的肿瘤以及双侧肾上腺肿物（右侧3.0厘米，左侧2.0厘米）。实施了左侧肾切除术和双侧肾上腺切除术。病理结果显示为透明细胞癌，左肾G2级，已转移至双侧肾上腺。患者接受了补充氢化可的松治疗，肾切除和肾上腺切除术后8个月情况良好，无复发迹象。肾细胞癌双侧肾上腺转移相对少见。我们的病例似乎是日本文献报道中的第13例。
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