Chonnam Med J.  2009 Dec;45(3):203-206. 10.4068/cmj.2009.45.3.203.

Metachronous Solitary Contralateral Adrenal Metastasis of Renal Cell Carcinoma

• Hwang EC
• Ki HC
• Jung SI
• Park JB
• Im CM
• Kim SO
• Kang TW
• Kwon DD
• Park K
• Ryu SB

• KMID: 2274896
• DOI: http://doi.org/10.4068/cmj.2009.45.3.203

Abstract

Renal cell carcinomas can metastasize to almost any organ. Metachronous solitary contralateral adrenal metastasis from renal cell carcinoma is, however, very rare. Surgical resection is appropriate in isolated metastatic renal cell carcinoma, but the metastasectomy in the case of contralateral adrenal metastasis of renal cell carcinoma has not been well defined. Herein, we report a case of renal cell carcinoma with solitary metachronous contralateral adrenal metastasis occurring 4 years after curative laparoscopic radical nephrectomy. The patient was treated with retroperitoneal laparoscopic adrenalectomy.

Keyword

Metastasis; Adrenal glands; Carcinoma; Renal cell

MeSH Terms

Adrenal Glands
Adrenalectomy
Carcinoma, Renal Cell
Humans
Metastasectomy
Neoplasm Metastasis
Nephrectomy

Figure

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  Fig. 1 Enhanced computed tomography showing a 1.3 cm left adrenal mass, 4 years after a right radical nephrectomy.

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  Fig. 2 The histologic features of the specimen: (A) Gross finding of the round tumor (center) in the yellow adrenal gland (right) is noted. (B) The metastatic nodule (closed triangle) is noted near the adrenal gland (closed circle) (×10). (C) The capsule seperating the metastatic tumor (closed triangle) and the adrenal gland (closed circle) is noted (×40). (D) The metastatic tumor growing in a trabecular pattern with clear cytoplasm is noted (×100).

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