Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2015 Aug 4;2015(8):rjv098.
doi: 10.1093/jscr/rjv098.

Left adrenal tumor extending into the renal vein: surgical management with ipsilateral kidney preservation

Arnaud Doerfler  1 , Lionel Vaudreuil  1 , Sophie Le Gal  1 , Gil Lebreton  2 , Xavier Tillou  3
Affiliations
Case Reports

Left adrenal tumor extending into the renal vein: surgical management with ipsilateral kidney preservation

Arnaud Doerfler et al. J Surg Case Rep. .

Abstract

If single adrenal metastasis surgery is well admitted, no recommendation exists about the management of a renal vein tumor thrombus, even though the actual consensual attitude consists in a nephrectomy associated to an adrenalectomy. We report, here, the case of a 74-year-old man with a suspected adrenal metastasis of a lung carcinoma associated with a left adrenal and renal vein tumor thrombus treated by adrenalectomy and renal vein thrombectomy and ipsilateral kidney sparing. The postoperative computed tomography scan showed no thrombus in the left renal vein. Doppler ultrasound performed 1 month after adrenalectomy proved a good left renal vein flux. At 36 months of follow-up, the patient is alive without signs of recurrence.

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
(1) Preoperative CT scan showing the adrenal mass (A) and in the renal vein a hypodense mass (B) corresponding to the renal vein tumor thrombus. (2) Postoperative CT scan showing the left kidney and its permeable vein. (3) Flow in the left renal vein on postoperative Doppler ultrasound.
See this image and copyright information in PMC

References

    1. Twomey P, Montgomery C, Clark O. Successful treatment of adrenal metastases from large-cell carcinoma of the lung. JAMA 1982;248:581–3. - PubMed
    1. Sancho JJ, Triponez F, Montet X, Sitges-Serra A. Surgical management of adrenal metastases. Langenbecks Arch Surg 2012;397:179–94. - PubMed
    1. Strong VE, D'Angelica M, Tang L, Prete F, Gönen M, Coit D et al. . Laparoscopic adrenalectomy for isolated adrenal metastasis. Ann Surg Oncol 2007;14:3392–400. - PubMed
    1. Sèbe P, Rigaud J, Avancès C, Brunaud L, Caillard C, Camparo P et al. . Malignant tumors of the adrenal: contribution to the repository CCAFU INCa. Prog Urol 2010;4:S310–9. - PubMed
    1. Pérez Utrilla M, Nuñez Mora C, Rojo Sebastián A, Cabrera Castillo PM, García Mediero JM. Surgical approach to a large left adrenocortical mass with associated tumour thrombosis of the left renal vein: preservation of the ipsilateral kidney. Adv Urol 2009:365805. - PMC - PubMed

Publication types

LinkOut - more resources