Arai G, Kamai T, Nagamoto A, Saito K, Hirokawa M
Department of Urology, Fujisawa City Hospital.
Hinyokika Kiyo. 1997 Jan;43(1):29-31.
A 62-year-old female was admitted to our hospital with left flank pain and weight loss. Computerized tomography revealed a large left adrenal tumor and a small right renal tumor. A left adrenalectomy was performed initially to confirm sparing the left kidney. The left adrenal tumor weighed 650 g and was renal cell carcinoma histologically, suggesting a contralateral metastasis of the right renal tumor. Two months after the adrenalectomy, the right kidney was excised. The right adrenal gland was preserved. Pathologically, the renal tumor was also renal cell carcinoma. The patient has remained well for 34 months after the operation. The literature concerning the adrenal metastasis of renal cell carcinoma is briefly reviewed.
一名62岁女性因左侧腰痛和体重减轻入住我院。计算机断层扫描显示左侧肾上腺有一个大肿瘤和右侧肾脏有一个小肿瘤。最初进行了左侧肾上腺切除术以确认保留左肾。左侧肾上腺肿瘤重650克，组织学检查为肾细胞癌，提示右侧肾脏肿瘤发生了对侧转移。肾上腺切除术后两个月，切除了右侧肾脏。保留了右侧肾上腺。病理检查显示，肾脏肿瘤也是肾细胞癌。患者术后34个月情况良好。本文简要回顾了有关肾细胞癌肾上腺转移的文献。
