Key result
Right adrenalectomy with adrenal vein tumor thrombectomy successfully treated a rare metachronous contralateral adrenal metastasis from renal cell carcinoma.
Case Report (n=1)
No
Contralateral adrenal metastasis from renal cell carcinoma can occur many years after primary nephrectomy and may present with tumor thrombus in the adrenal vein, which can be successfully managed with surgical resection.
May support surgical resection in select rare cases of metachronous contralateral adrenal metastasis from RCC; leaves open need for prospective outcome data.
A 64-year-old woman presented with contralateral right adrenal metastasis with adrenal vein thrombus, which was diagnosed many years after left nephrectomy with adrenalectomy due to renal cell cancer. The patient underwent right adrenalectomy with adrenal vein tumor thrombectomy for treatment. The pathologic examination confirmed metastatic clear cell carcinoma. The remote but existing risk of developing contralateral adrenal metastasis (CAM) after primary radical nephrectomy supports the idea of sparing the adrenal gland in suitable patients who undergo radical nephrectomy. Contralateral adrenal metastasis from RCC is a rare finding with the potential benefit of cure after resection. Care must be taken in preoperative diagnostics, as this metastasis is capable of causing inferior vena cava tumor thrombus via the suprarenal venous route. According to our knowledge, our case is the second similar entity described in literature so far.
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Piotrowicz et al. (2015) conducted a case report in Contralateral adrenal metastasis from renal cell carcinoma (n=1). Right adrenalectomy with adrenal vein tumor thrombectomy was evaluated. Right adrenalectomy with adrenal vein tumor thrombectomy successfully treated a rare metachronous contralateral adrenal metastasis from renal cell carcinoma.
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