Metastases of renal carcinomato the adrenals
- 作者: Trapeznikova MF1, Bogatyrev OP1, Bychkova NV1, Vorontsova SV1, Polyakova GA1
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- 期: 编号 1 (2004)
- 页面: 25-30
- 栏目: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/275023
- ID: 275023
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The aim of the study was assessment of diagnosis and surgical
treatment of adrenal metastases (AM) of renal carcinoma (RC). 10
cases of RC AM have been analysed. Bilateral metastases were diagnosed
in 2 patients, ipsilateral in 5 patients, contralateral in 3. Three
patients had synchroneous metastases, seven had metachroneous
ones. AM were detected 8 months to 14 years after after operation
on the kidney. Non-invasive dynamic control over the retroperitoneal
space after nephrectomy for RC using advanced visual methods (ultrasonography,
x-ray and resonance magnetic CT) not only detects
AM but also determines metastatic genesis of the tumor. Thus, significant
verification of RC AM, especially of metachronous origin,
requires the study of the findings obtained at clinical, laboratory, ultrasonic,
radiation examinations as well as comparison of histological
structure of the removed kidney tumor and the adrenal. Early diagnosis
and removal of a solitary adrenal metastasis of RC provides prolongation
of the patient's life and survival of patients with RC late
stages.
treatment of adrenal metastases (AM) of renal carcinoma (RC). 10
cases of RC AM have been analysed. Bilateral metastases were diagnosed
in 2 patients, ipsilateral in 5 patients, contralateral in 3. Three
patients had synchroneous metastases, seven had metachroneous
ones. AM were detected 8 months to 14 years after after operation
on the kidney. Non-invasive dynamic control over the retroperitoneal
space after nephrectomy for RC using advanced visual methods (ultrasonography,
x-ray and resonance magnetic CT) not only detects
AM but also determines metastatic genesis of the tumor. Thus, significant
verification of RC AM, especially of metachronous origin,
requires the study of the findings obtained at clinical, laboratory, ultrasonic,
radiation examinations as well as comparison of histological
structure of the removed kidney tumor and the adrenal. Early diagnosis
and removal of a solitary adrenal metastasis of RC provides prolongation
of the patient's life and survival of patients with RC late
stages.
参考
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