Routine adrenalectomy is unnecessary during surgery for large and/or upper pole renal tumors when the adrenal gland is radiographically normal.

@article{Kutikov2011RoutineAI,
  title={Routine adrenalectomy is unnecessary during surgery for large and/or upper pole renal tumors when the adrenal gland is radiographically normal.},
  author={Alexander Kutikov and Zachary J Piotrowski and Daniel J. Canter and Tianyu Li and David Yen Ting Chen and Rosalia Viterbo and Richard Evan Greenberg and Stephen Anthony Boorjian and Robert G. Uzzo},
  journal={The Journal of urology},
  year={2011},
  volume={185 4},
  pages={
          1198-203
        }
}
PURPOSE Concurrent adrenalectomy during renal surgery for renal cell carcinoma was once routine. More recent data suggest that adrenalectomy should be reserved for tumors 7 cm or greater, particularly those involving the upper pole. We evaluated the radiographic and pathological incidence of adrenal involvement in patients undergoing renal surgery for renal cell carcinoma 7 cm or greater. MATERIALS AND METHODS Patients who underwent renal surgery for tumors 7 cm or greater between 1999 and… CONTINUE READING
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