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Routine adrenalectomy in renal cancer—an antiquated practice

Nature Reviews Urology volume 8, pages 534–536 (2011)Cite this article

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For decades, complete removal of the kidney with all the contents of the Gerota's fascia (including the adrenal gland) has been a standard procedure for treating renal cell carcinoma (RCC). Two recent articles argue against routine adrenalectomy, and encourage adrenal preservation for the vast majority of patients with RCC.

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References

  1. Kutikov, A. et al. Routine adrenalectomy is unnecessary during surgery for large and/or upper pole renal tumors when the adrenal gland is radiographically normal. J. Urol. 185, 1198–1203 (2011).

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Authors and Affiliations

  1. Department of Urology, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, 13210, NY, USA

    Gennady Bratslavsky

  2. Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, 10 Center Drive, Room 1-5940, Bethesda, 20892, MD, USA

    W. Marston Linehan

Authors
  1. Gennady Bratslavsky
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  2. W. Marston Linehan
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Correspondence to W. Marston Linehan.

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The authors declare no competing financial interests.

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Bratslavsky, G., Linehan, W. Routine adrenalectomy in renal cancer—an antiquated practice. Nat Rev Urol 8, 534–536 (2011). https://doi.org/10.1038/nrurol.2011.136

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