Anaesthetic Management Of A Patient With Adrenal Tumor Coming For Radical Nephrectomy.

Abstract

A renal cell carcinoma accounts for 2% of global cancer diagnoses and deaths, its incidence is increasing globally. The incidence of renal cell carcinoma is relatively low but many patients present late with advanced-stage disease and consequently, poorer prognosis. It has male predominance (M:F) and most common in sixth to eight decades; peak incidence in sixth decade. Metastatic disease in 30% at diagnosis, and eventually in 50%(lung,liver,bone,distant LN, adrenal,brain, opposite kidney, soft tissue). Most sporadic renal cell carcinoma are unilateral and unifocal. The subtypes of Adenocarcinoma are clear cell(75-85%), chromophillic papillary (10-15%), chromophobe (5-10%), oncocytic(rare), sarcomatoid(1-6%; poor prognosis). Here we present the anesthetic management of a patient with adrenal mass and renal cell carcinoma coming for radical nephrectomy.