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Renal cell carcinoma (RCC) is an uncommon malignancy and is often associated with distant metastasis at the time of diagnosis. The adrenal glands, despite their close anatomical location to the kidneys, have a lower risk of tumor infiltration. The risk of metastatic deposits to adrenals is increased due to their high vascular supply. We present a young patient with RCC and metastases to the contralateral adrenal gland. We present the case to highlight the synchronous and the metachronous presentation of adrenal metastasis in renal cell carcinoma.
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