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Urol Case Rep. 2014 May 17;2(4):131-3. doi: 10.1016/j.eucr.2014.04.003. eCollection 2014 Jul.

Contralateral Adrenal Metastasis of Renal Cell Carcinoma Arising From a Horseshoe Kidney: An Initial Case Report.

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Department of Urology, Faculty of Medicine, University of Yamanashi, Chuo-city, Yamanashi, Japan.


A 71-year-old woman with a right adrenal mass detected by computed tomography was referred to our institution. Before 33 months, she had undergone a radical heminephrectomy for an 11-cm renal cell carcinoma (RCC) in the left moiety of a horseshoe kidney. The adrenal tumor was diagnosed as the metastasis of RCC. The tumor was subsequently removed in a laparoscopic adrenalectomy by a retroperitoneal approach. Pathologic examination revealed the mass to be the adrenal metastasis of RCC. To our knowledge, this is the initial report of a laparoscopic adrenalectomy for the adrenal metastasis of renal cell carcinoma arising from a horseshoe kidney.


Adrenal metastasis; Horseshe kidney; Laparoscopic adrenalectomy; Renal cell carcinoma

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