The Mount Sinai Journal of Medicine

 

Volume 73 Number 5
September 2006		 back to contents
Isolated Metachronous Contralateral Adrenal Metastasis from Renal Cell Carcinoma 822-824
George H. Sakorafas, M.D.1, Dimitrios Milingos, M.D.1, Kyriakos Revelos, M.D.2, John Siafakas, M.D.1, Panayotis Kontopoulos, M.D.1, and George Peros, M.D.1

From the 1Fourth Department of Surgery, Athens University, Medical School, “ATTIKON” University Hospital, and, 2Department of Pathology, 251 Hellenic Air Force Hospital, Athens, Greece.

Address all correspondence to George H. Sakorafas, M.D., Arkadias 19–21, GR-115 26 Athens, Greece; e-mail: georgesakorafas@yahoo.com

Accepted for publication January 2006.

Abstract

Isolated contralateral adrenal metastasis from renal carcinoma is extremely rare. Patients who present with this entity often undergo surgery with the presumed diagnosis of an incidentaloma. A mass in the contralateral adrenal diagnosed following radical nephrectomy for renal carcinoma should be viewed with a high index of suspicion for the presence of metastatic disease. Surgery is the only effective management option and should be offered to these patients.

Key Words

Adrenal, incidentaloma, mass, renal carcinoma, metastasis, adrenalectomy.

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