![]() ![]() ![]() Other symptoms, including hematuria, were not present. In this article, we report a case of right-sided RCC with simultaneous bilateral adrenal metastases, the treatment and prognosis are also discussed.Ī 58-year-old Caucasian-Greek woman presented with a dull pain located in the right flank for 4 years. Adrenal metastases from RCC are either synchronous or metachronous. Synchronous bilateral involvement was found to be present at about one fifth of all adrenal metastases. The incidence of adrenal metastases from RCC is 6-29% in autopsy series, and one third of this incidence (2-10%) from clinical diagnosis. The most common metastatic sites from RCC are the lung, lymph nodes, liver, bone, contralateral kidney and ipsilateral adrenal gland. Due to the insidious clinical course of many primary RCCs, approximately a third of all patients have metastases at the initial diagnosis. Renal cell carcinoma (RCC) can metastasize extensively and to unusual sites. It is well established that the incidence of adrenal metastases in certain types of malignancy, such as carcinomas of the breast, lung and melanoma is high. ![]()
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