Growing occult synchronous adrenal metastasis from rectal cancer after surgery and during adjuvant chemotherapy: A Case Report

• Autorzy: Woo-Sang Ryu , Hye-Yoon Lee , Je-Seock Ryu , Jun-Won Um , Byung-Wook Min
• Języki publikacji: EN

Abstrakty

EN

We report a case of an occult synchronous adrenal metastasis of rectal cancer. A left adrenal mass was found by computed tomography (CT) 6 months after low anterior resection for rectal cancer. This lesion was growing during adjuvant systemic chemotherapy. The level of serum carcinoembryonic antigen and that of adrenal hormones were within the normal range. Radical left adrenalectomy was performed, and histopathological examination revealed metastatic adenocarcinoma compatible with rectal cancer. Adrenal metastasis is not rare in autopsy series. The possibility of adrenal metastasis should be considered in the follow-up of rectal cancer patients. Surgery may be the treatment of choice in occult synchronous metastasis of adrenal gland in rectal cancer.

Słowa kluczowe

EN

Adrenal metastasis; Rectal

• Czasopismo: Open Medicine
• Rocznik: 2011
• Tom: 6
• Numer: 1
• Strony: 120-122

Daty

wydano

2011-02-01

online

2010-12-16

Twórcy

autor

Woo-Sang Ryu

• Department of Surgery, Korea University College of Medicine, 136-701, Seoul, Korea

autor

Hye-Yoon Lee

• Department of Surgery, Korea University College of Medicine, 136-701, Seoul, Korea

autor

Je-Seock Ryu

• Department of Surgery, Korea University College of Medicine, 136-701, Seoul, Korea

autor

Jun-Won Um

• Department of Surgery, Korea University College of Medicine, 136-701, Seoul, Korea

autor

Byung-Wook Min

• Department of Surgery, Korea University College of Medicine, 136-701, Seoul, Korea,

Bibliografia

• [1] Bullock WK, Hirst AE, Jr. Metastatic carcinoma of the adrenal. Am J Med Sci 1953;226:521–524
• [2] Fujita K, Kameyama S, Kawamura M. Surgically removed adrenal metastasis from cancer of the rectum. Diseases of the Colon & Rectum 1988;31:141–143 http://dx.doi.org/10.1007/BF02562648[Crossref]
• [3] Abrams HL, Spiro R, Goldstein N. Metastases in carcinoma. Analysis of 1000 autopsied cases. Cancer 1950;3:74–85 http://dx.doi.org/10.1002/1097-0142(1950)3:1<74::AID-CNCR2820030111>3.0.CO;2-7[Crossref]
• [4] Murakami S, Terakado M, Hashimoto T, Tsuji Y, Okubo K, Hirayama R. Adrenal Metastasis from Rectal Cancer: Report of a Case. Surgery Today 2003;33:126–130 http://dx.doi.org/10.1007/s005950300028[Crossref]
• [5] Cedermark BJ, Blumenson LE, Pickren JW, Holyoke DE, Elias EG. Ths significance of metastases to the adrenal glands in adenocarcinoma of the colon and rectum. Surg Gynecol Obstet 1977;144:537–546
• [6] Lam K-Y, Lo C-Y. Metastatic tumours of the adrenal glands: a 30-year experience in a teaching hospital. Clinical Endocrinology 2002;56:95–101 http://dx.doi.org/10.1046/j.0300-0664.2001.01435.x[Crossref]
• [7] Pfannschmidt J, Dienemann H, Hoffmann H. Surgical Resection of Pulmonary Metastases From Colorectal Cancer: A Systematic Review of Published Series. The Annals of Thoracic Surgery 2007;84:324–338 http://dx.doi.org/10.1016/j.athoracsur.2007.02.093[Crossref]
• [8] Mourra N, Hoeffel C, Duvillard P, Guettier C, Flejou J-F, Tiret E. Adrenalectomy for Clinically Isolated Metastasis from Colorectal Carcinoma: Report of Eight Cases. Diseases of the Colon & Rectum 2008;51:1846–1849 http://dx.doi.org/10.1007/s10350-008-9235-2[Crossref]
• [9] Kim SH, Brennan MF, Russo P, Burt ME, Coit DG. The role of surgery in the treatment of clinically isolated adrenal metastasis. Cancer 1998;82:389–394 http://dx.doi.org/10.1002/(SICI)1097-0142(19980115)82:2<395::AID-CNCR20>3.0.CO;2-T[Crossref]

Identyfikatory

DOI

10.2478/s11536-010-0059-9