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
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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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DOI: https://doi.org/10.1038/nrurol.2011.136