Bilateral adrenal metastases from renal cell carcinoma after robot-assisted partial nephrectomy.

Autor: Oshiro H; Department of Urology, Kobe City Nishi-Kobe Medical Center, 7-1 Kojidai, 5-Chome Nishi-ku, Kobe, Hyogo 651-2273 Japan., Shimizu Y; Department of Urology, Osaka Red Cross Hospital, Osaka, Japan., Nakayasu R; Department of Urology, Kobe City Nishi-Kobe Medical Center, 7-1 Kojidai, 5-Chome Nishi-ku, Kobe, Hyogo 651-2273 Japan., Miyazaki Y; Department of Urology, Kobe City Nishi-Kobe Medical Center, 7-1 Kojidai, 5-Chome Nishi-ku, Kobe, Hyogo 651-2273 Japan., Utsunomiya N; Department of Urology, Kobe City Nishi-Kobe Medical Center, 7-1 Kojidai, 5-Chome Nishi-ku, Kobe, Hyogo 651-2273 Japan., Asai S; Department of Pathology, Kobe City Nishi-Kobe Medical Center, Kobe, Hyogo Japan., Kanamaru S; Department of Urology, Kobe City Nishi-Kobe Medical Center, 7-1 Kojidai, 5-Chome Nishi-ku, Kobe, Hyogo 651-2273 Japan.
Jazyk: angličtina
Zdroj: International cancer conference journal [Int Cancer Conf J] 2023 Oct 17; Vol. 13 (1), pp. 49-53. Date of Electronic Publication: 2023 Oct 17 (Print Publication: 2024).
DOI: 10.1007/s13691-023-00635-5
Abstrakt: Renal cell carcinoma often metastasizes to the adrenals; however, bilateral adrenal metastases are rare. We here report a patient with bilateral adrenal metastases from renal cell carcinoma after robot-assisted partial nephrectomy and review relevant published reports. A 64-year-old man underwent robot-assisted partial nephrectomy for a left renal tumor. During follow-up, he was diagnosed with bilateral adrenal metastases. He underwent left adrenalectomy followed by right partial adrenalectomy to preserve adrenal function. The renal tumor later metastasized to other parts of the body. He continues to receive systemic treatment and remains in partial remission. Patients with pT1aN0M0 renal cell carcinoma generally have a favorable prognosis. However, occasional such patients develop multiple metastases. To the best of our knowledge, this is the first reported case of bilateral adrenal metastases after partial nephrectomy. Clinicians should keep this rare scenario in mind.
Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest.
(© The Author(s) under exclusive licence to The Japan Society of Clinical Oncology 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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