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Updated: Jun 22, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Adrenal metastasis with inferior vena cava tumor thrombus through adrenal vein
Gregory S Rosenblatt1, Ken Takesita, Gerhard J Fuchs
1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA. grrosen@aol.com
Abstract:
A 69-year-old woman was evaluated for anemia. Abdominal ultrasonography showed a large right renal mass. Magnetic resonance imaging revealed a 12-cm renal mass and a separate 7.5-cm ipsilateral adrenal mass, with a tumor thrombus extending through the adrenal vein and into the inferior vena cava. Right radical nephrectomy/adrenalectomy with caval tumor thrombectomy was performed, and both lesions were diagnosed as renal cell carcinoma. We report on an unusual case of a large renal cell carcinoma with metastasis to the adrenal gland and vena caval extension by way of the adrenal venous system, without renal vein thrombus.
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