RENAL-CELL CARCINOMA WITH SOLITARY METACHRONOUS CONTRALATERAL ADRENAL METASTASIS - EXPERIENCE WITH 2 CASES AND REVIEW OF THE LITERATURE

We report on 2 cases of renal cell carcinoma with solitary metachronous contralateral adrenal metastasis occurring up to four years after radical nephrectomy. Both patients were treated with adrenalectomy and steroid replacement. One patient died with distant metastases twenty-eight months after adrenalectomy and the other is alive with no evidence of disease four years postoperatively. Such a presentation of hypernephroma is rare, with only 1 such case having been found in the literature.