Factors influencing adrenal metastasis in renal cell carcinoma.

Objectives: We determine the incidence and characteristics of adrenal involvement in localized and advanced renal cell carcinoma, and evaluate the role of adrenalectomy as part of radical nephrectomy.

Material And Methods: From 1993 to 1999, 210 patients with renal cell carcinoma (RCC), (139 men and 71 women, mean age 60.8 years, range 12-96) underwent radical nephrectomy with associated adrenalectomy.

[Renal cell carcinoma before the age of 40: prognostic factors].

Objective: To study the prognostic value of tumour diameter, TNM stage, Führman's nuclear grade and CD44 adhesion molecule expression in renal cell carcinoma (RCC) before the age of 40 years.

Material And Methods: Nineteen patients under the age of 40 (12 males and 7 females; mean age 30.8 years), undergoing total nephrectomy for RCC were included in this study.

Real indications for adrenalectomy in renal cell carcinoma.

Objectives: We determined the incidence and characteristics of adrenal involvement in localized and advanced renal cell carcinoma, and evaluated the role of adrenalectomy as part of radical nephrectomy.

Patients And Methods: From 1993 to 1999, 210 patients with renal cell carcinoma (RCC) (139 men and 71 women, mean age 60.8 years, range 12-96 years) underwent radical nephrectomy with associated adrenalectomy.

Solitary contralateral adrenal metastasis after nephrectomy for renal cell carcinoma.

Malignant involvement of the contralateral adrenal gland in cases of renal cell carcinoma is extremely rare. Solitary metachronous metastatic involvement of the contralateral adrenal gland from renal cell carcinoma is rarely diagnosed during life. In fact, clinical signs and symptoms of adrenal insufficiency are rare in these patients.

Follicular carcinoma of the thyroid metastasis to the kidney nine years after resection of the primary tumor.

The authors report a case of renal metastasis from a follicular carcinoma of the thyroid in 62 years-old man, occurring nine years after isthmolobectomy for thyroid carcinoma. Clinical symptoms radiographic results and treatment are discuss after reviewing literature.