Joual A, Patard J J, Chopin D, Abbou C C
Service d'Urologie, Hôpital Henri Mondor, Créteil, France.
Prog Urol. 1998 Feb;8(1):89-91.
The authors report a case of adrenal metastasis contralateral to a renal cell carcinoma in a 74-year-old patient who had undergone right radical nephrectomy for renal cell carcinoma. Nine months later, computed tomography revealed a hypervascular mass considered to be an aneurysm of the splenic artery. Arteriography led to the diagnosis of hypervascular adrenal tumour. Left adrenalectomy was performed. Histological examination showed a metastasis from renal cell carcinoma. This is an unusual form of renal cancer metastasis. Its treatment and prognosis are discussed.
作者报告了一例74岁患者，该患者因肾细胞癌接受了右肾根治性切除术，之后出现了与肾细胞癌对侧的肾上腺转移。九个月后，计算机断层扫描显示一个高血管性肿块，考虑为脾动脉瘤。动脉造影确诊为高血管性肾上腺肿瘤，遂进行了左肾上腺切除术。组织学检查显示为肾细胞癌转移。这是一种不常见的肾癌转移形式，并对其治疗和预后进行了讨论。
