Nouralizadeh Akbar, Afyouni Amir, Shakiba Behnam, Radhi Fahad Khalid
Urology and Nephrology Research Center, Shahid Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Urology, Aljomhori General Hospital, Basrah, Iraq.
J Endourol Case Rep. 2017 Sep 1;3(1):142-145. doi: 10.1089/cren.2017.0062. eCollection 2017.
The possibility of bilateral adrenal gland metastasis from renal cell carcinoma (RCC) has been extremely rarely reported. Surgery may be the preferred treatment strategy for adrenal metastasis from RCC. In this article, we present a patient with bilateral large adrenal metastases from the left RCC, which was managed with simultaneous bilateral laparoscopic excision. A 64-year-old woman had undergone left adrenal sparing radical nephrectomy for a left RCC 7 years ago. Her abdominal CT scan revealed bilateral large adrenal metastasis. She underwent bilateral laparoscopic adrenalectomy. The operation was uneventful and the patient was discharged after 4 days with no complications. Bilateral laparoscopic adrenalectomy for adrenal metastasis seems to be a feasible and safe procedure in such cases, but this needs to be confirmed by further studies with a larger sample size.
肾细胞癌（RCC）发生双侧肾上腺转移的可能性极少有报道。手术可能是RCC肾上腺转移的首选治疗策略。在本文中，我们报告了一名左肾细胞癌发生双侧肾上腺大转移的患者，通过同期双侧腹腔镜切除术进行治疗。一名64岁女性7年前因左肾细胞癌接受了保留左肾上腺的根治性肾切除术。她的腹部CT扫描显示双侧肾上腺大转移。她接受了双侧腹腔镜肾上腺切除术。手术过程顺利，患者术后4天出院，无并发症。对于此类病例，双侧腹腔镜肾上腺切除术治疗肾上腺转移似乎是一种可行且安全的手术，但这需要通过更大样本量的进一步研究来证实。
