Lemmers M, Ward K, Hatch T, Stenzel P
Division of Urology, Oregon Health Sciences University, Portland.
J Urol. 1989 May;141(5):1177-80. doi: 10.1016/s0022-5347(17)41206-7.
We report 2 rare cases of renal adenocarcinoma with solitary metastasis to the contralateral adrenal gland, 1 recognized synchronously with the primary neoplasm and 1 found 15 years after nephrectomy. The latter case represents the longest reported interval between nephrectomy and treatment of a solitary contralateral adrenal metastasis of renal adenocarcinoma. Distinction of these metastatic tumors from primary adrenocortical carcinoma was facilitated by immunohistochemical markers. Twelve other reported cases of renal adenocarcinoma with solitary contralateral adrenal metastasis support aggressive surgical management of this lesion.
我们报告2例罕见的肾腺癌，其孤立性转移至对侧肾上腺，1例与原发性肿瘤同时被发现，另1例在肾切除术后15年被发现。后1例代表了肾腺癌对侧肾上腺孤立性转移在肾切除术后至治疗之间报道的最长间隔时间。免疫组化标志物有助于将这些转移性肿瘤与原发性肾上腺皮质癌区分开来。其他12例报告的肾腺癌对侧肾上腺孤立性转移病例支持对该病变采取积极的手术治疗。
