Abstract: Objective  To report a case of renal clear cell carcinoma metastasis of ipsilateral adrenal after radical nephrectomy,and to analyze its symptoms,signs,diagnosis and treatment process,and discuss in accordance with the latest EUA and CSCO guidelines. Methods  The clinical data,diagnosis and treatment of a patient with renal clear cell carcinoma metastasis of ipsilateral adrenal more than one year after radical nephrectomy were retrospectively analyzed. Results The patient underwent laparoscopic radical left renal resection after renal cancer was found,and robot-assisted laparoscopic left adrenal resection after adrenal metastasis was found.Anti-infection,analgesia,hemostasis,fluid replacement and other treatments were given after the surgery,and the patient recovered well. Conclusion Adrenal metastasis of renal carcinoma is rare and difficult to detect in early stage,resulting in delayed treatment.Mastering comprehensive clinical features combined with authoritative guidelines for the diagnosis and treatment of renal carcinoma is helpful for early diagnosis and treatment of adrenal metastasis of renal carcinoma.

Key words: renal carcinoma, renal clear cell carcinoma, adrenal glands, metastasis of carcinoma