Kondoh N, Fujioka H, Matsuda M, Takaha M
Hinyokika Kiyo. 1986 Apr;32(4):575-9.
A case of a 55-year-old man with renal cell carcinoma metastasized to the contralateral adrenal gland is reported. He was admitted to our hospital with the complaints of hematuria and weight-loss. CT and arteriography revealed left renal tumor and contralateral adrenal mass. We made the diagnosis of left renal cell carcinoma with right adrenal metastasis, and performed left total nephrectomy and right adrenalectomy. Histologically, the adrenal mass was clear cell carcinoma, and it was diagnosed as metastasis from the left renal cancer. We reviewed 9 cases of renal cell carcinoma metastasized to the contralateral adrenal gland in the Japanese literature and discussed the effectiveness of pre-operative CT evaluation.
报告了一例55岁男性肾细胞癌转移至对侧肾上腺的病例。他因血尿和体重减轻症状入院。CT和动脉造影显示左肾肿瘤及对侧肾上腺肿块。我们诊断为左肾细胞癌伴右肾上腺转移，并进行了左肾全切术和右肾上腺切除术。组织学检查显示，肾上腺肿块为透明细胞癌，确诊为左肾癌转移。我们回顾了日本文献中9例肾细胞癌转移至对侧肾上腺的病例，并讨论了术前CT评估的有效性。
