Contralateral adrenal metastasis from renal cell carcinoma with tumor thrombus in the adrenal vein:a case report


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Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine


ISSN: 2084-8404
eISSN: 2451-070X





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VOLUME 15 , ISSUE 63 (December 2015) > List of articles

Contralateral adrenal metastasis from renal cell carcinoma with tumor thrombus in the adrenal vein:a case report

Sebastian Piotrowicz * / Natalia Muśko / Mieszko Kozikowski / Łukasz Nyk / Andrzej Borówka / Jakub Dobruch

Keywords : adrenal metastasis, contralateral, renal cell carcinoma, tumor thrombus, adrenal vein

Citation Information : Journal of Ultrasonography. Volume 15, Issue 63, Pages 438-442, DOI:

License : (CC BY-NC-ND 4.0)

Received Date : 15-October-2015 / Accepted: 26-October-2015 / Published Online: 13-September-2016



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 confi rmed 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 fi nding with the potential benefi t 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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