[Specifics of regional metastases of adrenal malignant tumors].

Radicality of surgical treatment of the adrenal gland malignant tumor (AGMT) depends on its primary complete excision as well as all the regional metastases (RM). This trusts the necessity of studying of the regional metastatic spreading ways. There were investigated the regional metastatic spreading ways in 257 patients with AGMT, treated in 1968-2002 yrs in the clinic. In 33% of the patients with AGMT RM were revealed. Regional metastatic spreading was as usual lymphogenic one. RM were usually revealed in lymphatic nodes of renal hilus, paranephral and paraaortal fat tissue. That's why while doing the operative intervention for AGMT it is necessary to perform revision of the renal hilum lymphatic nodes, as well as paranephral and paraaortal fat tissue and muscles of the back.