Conclusions It was recommended that adrenalectomy should be underta-ken when direct extension of the RCC into the gland was observed or adrenal gland has been the sole metastatic site.

• 肾癌根治术不必都作肾上腺切除，只有肾上极肾癌直接蔓延至肾上腺及肾上腺有转移癌时才作肾上腺切除。