Kreutz G, Habegger R
Helv Chir Acta. 1979 Aug;46(3):291-5.
We analysed the cases of renal carcinoma undergoing operation or autopsy from 1970 to 1978 in respect of their metastasizing to the adrenals. Of the 31 cases undergoing autopsy 10 adrenal metastases were found mostly as a result of a widespread metastasis. Of the operated 74 patients 37 underwent nephrectomy alone and 37 nephrectomy together with prophylactic adrenalectomy. The histologic evaluation of the 37 removed adrenals revealed metastases only in 4 cases. Only one of them proved to be a single metastasis, the other occurring together with other metastatic lesions. The value of the adrenalectomy will be discussed.
我们分析了1970年至1978年间接受手术或尸检的肾癌病例中肾上腺转移的情况。在31例接受尸检的病例中，发现10例肾上腺转移，大多是广泛转移的结果。在74例接受手术的患者中，37例仅接受了肾切除术，37例接受了肾切除术及预防性肾上腺切除术。对37个切除的肾上腺进行组织学评估，仅在4例中发现转移。其中只有1例为单一转移，其他3例与其他转移性病变同时出现。将对肾上腺切除术的价值进行讨论。
