Adrenal cortical carcinoma is well known to extend into the renal vein
s and inferior vena cava. It is less known that neoplasms metastatic t
o the adrenal might also extend into the renal vein and cava. Only a f
ew reports in the literature document this extension. We report a case
of metastatic neoplasm to the adrenal extending into the inferior ven
a cava.