Isolated bilateral adrenal metastases from renal cancer. A case report.

The authors report an uncommon case of bilateral synchronous adrenal gland metastases from left renal cellcarcinoma. The diagnosis tvas established by abdominal ultrasound and computed tomography. The surgical approach initia lly consisted of left radical nephretomy and ipsilateral adrenalectomy. His tologically, the tumor of the left adrenal gland was identical to the left renal cell carcinoma. Subsequent contralateral adrenalectomy showed an adre nal metastasis identical to the left renal cell carcinoma. Patient follow-u p was good with no recurrence of the disease after one year. This is an unc ommon case for renal cancer. The treatment and prognosis are discussed.