2011, Number 5
Videolaparoscopic management of a case of synchronous renal and adrenal primary tumor
Merayo-Chalico C, Saavedra-Briones D, Fernández-Noyola G, Sánchez-Turati G, Ahumada-Tamayo S, Martínez JÁ, Santana-Ríos Z, Cantellano-Orozco M, Morales-Montor G, Pacheco-Gahbler C
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Language: Spanish
References: 8
Page: 288-291
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ABSTRACT
Introduction: Synchronous renal and adrenal tumors are rare. In the context of renal cell carcinoma, adrenal masses are often suspected of metastasis, but other adrenal lesions with different diagnostic, therapeutic, and prognostic implications can also coexist with renal cell carcinoma.Objective: To present the case of a patient with diagnosis of synchronous ipsilateral renal and adrenal tumor managed with videolaparoscopic radical nephrectomy.
Case presentation: Patient is a 50-year-old man that presented with symptoms of hypertensive crisis and acute coronary syndrome for which he was admitted to intensive care unit where he was managed with good response. Initial studies revealed treatment-refractory hypokalemia of 2.4 mEq/mL and serum aldosterone elevated to 52 ng/dL, meriting abdominal computed tomography scan that showed two tumors dependent on the right kidney and adrenal gland measuring 3 cm and 4 cm, respectively. Extension studies were negative for metastasis and the decision was made to perform laparoscopic right radical nephrectomy.
Discussion: There have been few published reports of synchronous ipsilateral tumors of the kidney and adrenal gland. The majority of reported cases involve renal cell carcinoma and breast cancer metastatic tumors. There is a clear relation between renal cell carcinoma and the presence of other synchronous or metachronous malignant neoplasms, the most frequent of which are breast tumors, pancreatic tumors, and colon cancer. However, the association of renal cell carcinoma with adrenal cortex carcinoma has not been well established due to its low incidence.
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