Repp Matthew L, Alvarez Rodrigo A, Arevalo-Salazar Dory E, Kotagiri Rajesh
Medical School, University of Arizona College of Medicine, Tucson, USA.
Internal Medicine, University of Arizona College of Medicine, Tucson, USA.
Cureus. 2023 Feb 21;15(2):e35265. doi: 10.7759/cureus.35265. eCollection 2023 Feb.
Renal cell carcinoma (RCC) can metastasize to nearly every organ, yet rarely metastasizes to the adrenal glands despite their anatomical proximity. Adrenal metastases are typically incidental findings on medical imaging and are vastly clinically asymptomatic. The adrenal glands can maintain hormonal homeostasis if a tenth of total adrenal gland function is preserved. We present a patient with synchronous bilateral adrenal metastases from RCC with rapid and unexpected development of adrenal insufficiency (AI).
肾细胞癌（RCC）几乎可转移至每个器官，但尽管肾上腺与肾脏解剖位置相近，RCC很少转移至肾上腺。肾上腺转移瘤通常是在医学影像检查中偶然发现的，临床上大多无症状。如果保留肾上腺总功能的十分之一，肾上腺就能维持激素稳态。我们报告了一例肾细胞癌同步双侧肾上腺转移患者，该患者肾上腺功能不全（AI）迅速且意外地发展。
