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Bilateral laparoscopic adrenalectomy for metachronous adrenal metastases of renal cell carcinoma


Authors: Oliver Straka;  Zdeněk Staněk
Authors place of work: Urologické oddělení, Nemocnice České Budějovice, a. s.
Published in the journal: Ces Urol 2019; 23(1): 57-62
Category: Case report

Summary

In this article we present a patient with bilateral adrenal metastasis of renal carcinoma who under‑went simultaneuos bilateral laparoscopic adrenalectomy after left radical laparoscopic nephrectomy.

Simultaneous bilaterat adrenal metastasis of renal cell carcinoma are very rare. In this article, we present a case of a 64 years old male who underwent left radical nephrectomy for renal cell carcinoma. After 2 years CT scan revealed a suspected malignant mass in both adrenal glands. The patient then underwent simultaneous bilateral laparo‑scopic adrenalectomy. Histopathologic assesment revealed renal cell carcinoma metastasis in both adrenal glands. The operation was without com‑plication, the patient was discharged after 5 days, in good condition with corticosteroid substitution. Bilateral laparoscopic adrenalectomy seems to be a feasible and safe procedure in this indication.

Keywords:

laparoscopy – Adrenalectomy – neoplasm metastasis – renal cell carcinoma.


Zdroje

1. Ljungberg B, Albiges L Bensalah K, et al. European Association of Urology; Guidelines on renal cell car‑cinoma. Retrieved from http://uroweb.org/guideline/renal‑­cell‑­carcinoma/ [Accessed November 11, 2018].

2. Ústav zdravotnických informací a statistiky České republiky, Novotvary 2016. http://uzis.cz/publikace/ novotvary-2016 [Accessed November 11, 2018].

3. Gronka L, Poršová M, Kolombo I, et al. Karcinom ledviny – současné trendy. Urol. praxi 2008; 9(3): 120–127.

4. Zografos GN, Farfaras A, Aggeli C, et al. Laparoscopic adrenalectomy for large adrenal metastasis from contralateral renal cell carcinoma. JSLS 2007; 11: 261–265 [PMC free article] [PubMed].

5. Nouralizadeh A, Afyouni A, Shakiba B, Radhi FK. Simultaneous bilateral laparoscopic adrenalectomy for adrenal metastases of renal cell carcinoma: a case report. Journal of Endourology Case Reports 2017; 3: 1, 142–145.

6. Bartoš V. Collision tumor of the kidney composed of clear cell renal cell carcinoma and papillary renal cell carcinoma. A report of a unique case J Res Med Dent Sci 2018; 6(4): 77–80.

7. Peters I, Hora M, Herrmann TR, et al. Incidence of synchronous and metachronous adrenal metastases following tumor nephrectomy in renal cell cancer patients: a retrospective bi‑­center analysis. Springerplus 2013; 2: 293 [PMC free article] [PubMed].

8. Takata MC, Kebebew E, Clark OH, et al. Laparoscopic bilateral adrenalectomy: results for 30 consecutive cases. Surg Endosc 2008; 22: 202–207 [PubMed].

9. Hora M, Stránský P, Eret V, et al. Jednoportová laparoskopická (LESS) adrenalektomie. Ces Urol 2016; 20(1): 10–12.

10. Ljungberg B. The role of metastasectomy in renal cell carcinoma in the era of targeted therapy. Current urology reports 2013; 14(1): 19–25.

Štítky
Paediatric urologist Nephrology Urology
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