Late solitary metastasis of a renal cancer to the contralateral adrenal gland
Mignon, F.; Mesurolle, B.; Sissakian, J.F.; Bruckert, F.; Guichoux, F.; Barré, O.; Chagnon, S.; Lacombe, P.
Journal de Radiologie 80(9): 939-942
1999
ISSN/ISBN: 0221-0363 PMID: 11048548 Document Number: 511382
We report a case of metachronous metastasis from renal cell carcinoma to the contralateral adrenal gland detected one year after radical nephrectomy. The initial tumor was incidentally discovered in the setting of acute aortic dissection. A large left adrenal tumor was detected on CT follow-up at two years. Retrospectively, a hypervascular lesion was present on the first yearly CT examination. Adrenalectomy was performed. There is no evidence of recurrent disease at 12 months. The patient was also treated with oral steroids. Because of their location and of the particularities of available therapeutic options, and because these metastases can occur late, long-term sonographic and CT follow-up should be performed. The clinical, imaging, therapeutic and prognostic aspects of these lesions will be discussed.