Miyazawa K, Shiba N, Ikeda R, Suzuki K, Tsugawa R, Mihara S, Kawaguchi K
Department of Urology, Kanazawa Medical University.
Hinyokika Kiyo. 1993 Feb;39(2):155-7.
A case of contralateral adrenal metastasis of renal cell carcinoma is reported. The patient was a 54-year-old male, who underwent a right radical transperitoneal nephrectomy for renal cell carcinoma, and had been administered interferon alpha intramuscularly. Nine months after the operation computerized tomography revealed the presence of an adrenal mass on the left side, undetected at nephrectomy, which suggested that the renal cell carcinoma had metastasized. A left adrenalectomy was performed. Histologically, the mass was identical to metastasis of renal cell carcinoma. The patient was administered supplementary hydrocortisone and was well 3 months after the adrenalectomy with no evidence of recurrence or other metastasis. This is the 24th case of contralateral adrenal metastasis of renal cell carcinoma in the Japanese literature.
报告了一例肾细胞癌对侧肾上腺转移的病例。患者为54岁男性，因肾细胞癌接受了右侧经腹根治性肾切除术，并接受了干扰素α肌肉注射治疗。术后9个月，计算机断层扫描显示左侧肾上腺有一个肿块，肾切除术中未发现，提示肾细胞癌已转移。遂行左侧肾上腺切除术。组织学检查显示，该肿块与肾细胞癌转移灶一致。患者接受了补充氢化可的松治疗，肾上腺切除术后3个月情况良好，无复发或其他转移迹象。这是日本文献中第24例肾细胞癌对侧肾上腺转移的病例。
