Management of isolated adrenal metastases.

Second to adrenal adenomas [1], adrenal metastatic lesions are among the most common type of tumors [2]. Approximately half of the adrenal tumors resected are metastases [3,4]. Presence of metastases has been established by autopsy in 13 to 38% of the patients deceased from extra-adrenal malignant disorders, suggesting that the adrenal gland is one of the most frequent sited of metastatic dissemination [5-9].