The role of surgery in renal cell carcinoma with solitary metachronous metastasis to contralateral adrenal gland

We report a case of renal cell carcinoma with solitary metachrnous metastas is to contralateral adrenal gland occurring 9 months after radical nephrect omy. The patient was treated with a contralateral adrenalectomy and is aliv e for 87 months. The literature was reviewed and 5-year survival of solitar y metachrnous metastasis to contralateral adrenal gland was 60%. Follow-rip duration of our case was the longest in the literature. It is suggested th at the solitary contralateral adrenal gland metastasis of renal cell carcin oma should be resected since there is no effective treatment of metastatic renal cell carcinoma. Good prognosis may be then and the good be expected.