What are the indications for adrenalectomy in the treatment of renal cell carcinoma (RCC)?

Updated: May 21, 2019
  • Author: Kush Sachdeva, MD; Chief Editor: E Jason Abel, MD  more...
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Answer

Some surgeons believe that the adrenal gland should not be removed because of the low probability of ipsilateral adrenal metastasis and the morbidity associated with adrenalectomy. The NCCN recommends considering ipsilateral adrenal gland resection for patients with large upper pole tumors or adrenal glands that appear abnormal on CT; if adrenal glands are uninvolved, adrenalectomy can be omitted. [20]


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