Martínez Piñeiro L, López Ferrer P, Ortín M, Hidalgo L, Gastón de Iriarte E, Martínez Piñeiro J A
Servicio de Urología, Hospital General La Paz, Facultad de Medicina, Universidad Autónoma de Madrid, España.
Arch Esp Urol. 1990 Mar;43(2):147-52.
We analyzed a series of 202 renal adenocarcinomas, 164 of which were submitted to radical nephrectomy. Pathological analyses of 150 adrenal glands revealed ipsilateral adrenal metastasis in 4 cases, 3 of these coexisting with other distant metastases. The primary tumors in these 4 cases were highly undifferentiated and in the advanced local tumor stage; the only case with solitary adrenal metastasis survived 15 months. The present study and data reported in the literature indicate that ipsilateral adrenalectomy should be performed in addition to radical nephrectomy only in renal tumors of the upper pole, those localized at other sites but whose size indicate the possibility of tumor spreading to the adjacent adrenal gland, or when a suspicious mass in the adrenal gland is evidenced by the preliminary workup or during surgery.
我们分析了一系列202例肾腺癌，其中164例行根治性肾切除术。对150个肾上腺进行的病理分析显示，4例存在同侧肾上腺转移，其中3例同时伴有其他远处转移。这4例的原发肿瘤高度未分化且处于局部肿瘤晚期；仅有的1例孤立性肾上腺转移患者存活了15个月。本研究及文献报道的数据表明，仅在肾上极肾肿瘤、位于其他部位但其大小提示肿瘤可能扩散至邻近肾上腺的肿瘤，或在初步检查或手术过程中发现肾上腺有可疑肿块时，除根治性肾切除术外，还应行同侧肾上腺切除术。
