Abstract
In order to delineate extention and spreading mode of tumors, observation of accessory and abnomal arteries by angiography is highly important to clinical practice. In patients with renal carcinomas, presence of adrenal metastasis strongly effects on the decision of operation and further management.
The present patient with renal carcinoma is a 57 year old Japanese woman. An abdominal angiography revealed the presence of inferior adrenal artery, capsular artery, superior adrenal artery and branches of right hepatic artery as accessory arteries. These angiographical findings imply intensive spread of the tumorous and then adhesion to adjacent organs such as liver and adrenal gland. In addition, the superior convexity of the capsular artery at the upper pole of the right kidney was demonstrated, implying cranial vector of the tumor extention. Operative findings confirmed these angiographical findings of the tumor and its metastasis. Other several X-ray films of the subtraction are presented.
In conclusion, the authors would emphasize that a detailed analysis of feeding arteries is remarkably valuable to elucidate adrenal involvement of renal carcinoma.
