Metachronous Periadrenal Fatty Tissue Metastasis from Contralateral Renal Cell Carcinoma

Contralateral adrenal metastases from renal cell carcinomas are not commonly seen. To our knowledge, we are presenting the first case of extraadrenal metastasis in the English literature, from the contralateral RCC 6 months after radical nephrectomy. Patient was treated with robotic right adrenalect...

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Main Authors: Erdal Alkan, Oguz Ozkanli, Derya Balbay
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2013/206078
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author Erdal Alkan
Oguz Ozkanli
Derya Balbay
author_facet Erdal Alkan
Oguz Ozkanli
Derya Balbay
author_sort Erdal Alkan
collection DOAJ
description Contralateral adrenal metastases from renal cell carcinomas are not commonly seen. To our knowledge, we are presenting the first case of extraadrenal metastasis in the English literature, from the contralateral RCC 6 months after radical nephrectomy. Patient was treated with robotic right adrenalectomy for continuous growing of a de novo right adrenal mass of 6 × 4 × 3 cm in diameter. Tissue between vena cava, renal capsule, and inferior diaphragmatic surface was removed en block. Pathological evaluation revealed renal cell carcinoma within the fatty tissue abutting the adrenal capsule from outside with negative surgical margins. Our experience dictates that removing adrenal tissue only after identifying the adrenal borders may sometimes result in insufficient tumor removal. Therefore, adrenal containing tissue within the anatomic boundaries should be removed en block, if surgical removal is planned for metachronous tumor metastasis in the treatment of renal cell carcinoma.
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issn 2090-696X
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publishDate 2013-01-01
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spelling doaj-art-e06571a2770d4fdeba5fbb5ef53e17ab2025-08-20T02:21:29ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/206078206078Metachronous Periadrenal Fatty Tissue Metastasis from Contralateral Renal Cell CarcinomaErdal Alkan0Oguz Ozkanli1Derya Balbay2Department of Urology, Memorial Sisli Hospital, Piyalepasa Bulvarı Okmeydanı, Sisli 34385, İstanbul, TurkeyDepartment of Urology, Memorial Sisli Hospital, Piyalepasa Bulvarı Okmeydanı, Sisli 34385, İstanbul, TurkeyDepartment of Urology, Memorial Sisli Hospital, Piyalepasa Bulvarı Okmeydanı, Sisli 34385, İstanbul, TurkeyContralateral adrenal metastases from renal cell carcinomas are not commonly seen. To our knowledge, we are presenting the first case of extraadrenal metastasis in the English literature, from the contralateral RCC 6 months after radical nephrectomy. Patient was treated with robotic right adrenalectomy for continuous growing of a de novo right adrenal mass of 6 × 4 × 3 cm in diameter. Tissue between vena cava, renal capsule, and inferior diaphragmatic surface was removed en block. Pathological evaluation revealed renal cell carcinoma within the fatty tissue abutting the adrenal capsule from outside with negative surgical margins. Our experience dictates that removing adrenal tissue only after identifying the adrenal borders may sometimes result in insufficient tumor removal. Therefore, adrenal containing tissue within the anatomic boundaries should be removed en block, if surgical removal is planned for metachronous tumor metastasis in the treatment of renal cell carcinoma.http://dx.doi.org/10.1155/2013/206078
spellingShingle Erdal Alkan
Oguz Ozkanli
Derya Balbay
Metachronous Periadrenal Fatty Tissue Metastasis from Contralateral Renal Cell Carcinoma
Case Reports in Urology
title Metachronous Periadrenal Fatty Tissue Metastasis from Contralateral Renal Cell Carcinoma
title_full Metachronous Periadrenal Fatty Tissue Metastasis from Contralateral Renal Cell Carcinoma
title_fullStr Metachronous Periadrenal Fatty Tissue Metastasis from Contralateral Renal Cell Carcinoma
title_full_unstemmed Metachronous Periadrenal Fatty Tissue Metastasis from Contralateral Renal Cell Carcinoma
title_short Metachronous Periadrenal Fatty Tissue Metastasis from Contralateral Renal Cell Carcinoma
title_sort metachronous periadrenal fatty tissue metastasis from contralateral renal cell carcinoma
url http://dx.doi.org/10.1155/2013/206078
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AT oguzozkanli metachronousperiadrenalfattytissuemetastasisfromcontralateralrenalcellcarcinoma
AT deryabalbay metachronousperiadrenalfattytissuemetastasisfromcontralateralrenalcellcarcinoma