根治性右肾切除术后对侧肾上腺及胆囊转移1例报告

A case report of metastasis to contralateral adrenal gland and gallbladder following laparoscopic right radical nephrectomy

根治性肾切除术后对侧肾上腺及胆囊转移临床罕见, 本文报道1例。患者行腹腔镜根治性右肾切除术, 术后病理提示右肾透明细胞癌。术后5年复查CT检查提示左侧肾上腺及胆囊占位性病变, 行经腹入路腹腔镜左肾上腺肿瘤切除+胆囊切除术, 病理检查提示左侧肾上腺和胆囊肿瘤符合透明细胞癌改变。术后患者口服靶向药物治疗, 术后随访10个月, 仍无瘤生存。

The metastasis of contralateral adrenal gland and gallbladder following radical nephrectomy is extremely uncommon in clinical practice.We presented one such case.The patient underwent laparoscopic radical right nephrectomy.Postoperative pathology revealed clear cell carcinoma of the right kidney.Five years after operation,CT revealed occupying lesions in the left adrenal gland and gallbladder.Transperitoneal laparoscopic left adrenalectomy and cholecystectomy were performed.Pathological examination showed that the left adrenal tumor and gallbladder tumor were clear cell carcinoma.The patient received targeted therapy and tumor-free survived for 10 months.