Abstract:
OBJECTIVE:To report the surgical treatment of patients with renal cell carcinoma (RCC) metastatic to the contralateral adrenal gland and compare our experience with previous reports, as such metastases are found in 2.5% of patients with metastatic RCC at autopsy, and the role of resecting metastatic RCC at this site is not well defined. PATIENTS AND METHODS:We retrospectively identified 11 patients who had surgery for metastatic RCC to the contralateral adrenal gland between October 1978 and April 2001. The patients' medical records were reviewed for clinical, surgical and pathological features, and the patients' outcome. RESULTS:The mean (median, range) age of the patients at primary nephrectomy was 60.9 (64, 43-79) years; all had clear cell (conventional) RCC. Synchronous contralateral adrenal metastasis occurred in two patients. The mean (median, range) time to contralateral adrenal metastasis after primary nephrectomy for the remaining nine patients was 5.2 (6.1, 0.8-9.2) years. All patients were treated with adrenalectomy; there were no perioperative complications or mortality. Seven patients died from RCC at a mean (median, range) of 3.9 (3.7, 0.2-10) years after adrenalectomy for contralateral adrenal metastasis; one died from other causes at 3.4 years, one from an unknown cause at 1.7 years and two were still alive at the last follow-up. CONCLUSIONS:The surgical resection of contralateral adrenal metastasis from RCC is safe; although most patients died from RCC, survival may be prolonged in individual patients. Hence, in the era of cytoreductive surgery, the removal of solitary contralateral adrenal metastasis seems to be indicated.
journal_name
BJU Intjournal_title
BJU internationalauthors
Lau WK,Zincke H,Lohse CM,Cheville JC,Weaver AL,Blute MLdoi
10.1046/j.1464-410x.2003.04237.xkeywords:
subject
Has Abstractpub_date
2003-06-01 00:00:00pages
775-9issue
9eissn
1464-4096issn
1464-410Xpii
4237journal_volume
91pub_type
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journal_title:BJU international
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pub_type: 杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章,多中心研究
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doi:10.1111/j.1464-410X.2006.06515.x
更新日期:2007-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:1999-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2003-11-01 00:00:00
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doi:10.1111/j.1464-410X.2008.07697.x
更新日期:2008-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-03-01 00:00:00
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doi:10.1111/j.1464-410X.2008.07653.x
更新日期:2008-05-01 00:00:00