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Abstract

In the lecture on the basis of literature data and the results of our research deals with the basic aspects of insufficiently studied problems of metastatic adrenal tumors. Special attention is drawn to the modern algorithm of examination of these patients, the surgical treatment strategy and evaluation of long-term results. For the period from 1997 to 2016 in the surgical clinics of MONIKI operated on 56 patients with metastatic adrenal tumors (MAT). 22 MAT were synchronous, 36 — metachronous. From the 46 produced a «potentially radical» adrenalectomy with tumor (40 unilateral, 6 bilateral), 6 — partial removal of the MAT, in 4 open biopsy. 46 radically operated patients survival rates were analyzed in 37, the average follow-up period was 36.5 months. Overall and disease-free 5-year survival rate of patients with MAT was 46.8 % and 27.6 %, respectively. The most favorable results of surgical treatment of patients with isolated metastases of clear cell kidney cancer in the adrenal glands. Unilateral adrenalectomy is indicated for patients with solitary synchronous and metachronous tumors, total adrenalectomy — bilateral with isolated neoplastic lesions of the adrenal glands.