孤立性対側副腎転移を伴った腎細胞癌の1例

概要

論文の詳細を見る
左側腹部痛,体重減少を主訴とした62歳女で,CTは大きい左副腎腫瘍及び小さい右腎腫瘍を示し,左副腎摘除を行った.600gで組織学的には腎細胞癌であり,右腎腫瘍の対側転移を示唆された.術後2ヵ月に右腎を摘除した.腎腫瘍も腎細胞癌であった.術後34ヵ月間,再発転移はなく元気に過ごしているA 62-year-old female was admitted to our hospital with left flank pain and weight loss. Computerized tomography revealed a large left adrenal tumor and a small right renal tumor. A left adrenalectomy was performed initially to confirm sparing the left kidney. The left adrenal tumor weighed 650 g and was renal cell carcinoma histologically, suggesting a contralateral metastasis of the right renal tumor. Two months after the adrenalectomy, the right kidney was excised. The right adrenal gland was preserved. Pathologically, the renal tumor was also renal cell carcinoma. The patient has remained well for 34 months after the operation. The literature concerning the adrenal metastasis of renal cell carcinoma is briefly reviewed.