A RESECTED CASE OF METASTATIC ADRENAL TUMOR FROM A LUNG CANCER

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  • 肺癌の副腎転移の1例

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Abstract

Metastatic adrenal tumors are found in a high incidence at autopsy, but are rarely resectable clinically. A resected case of metastatic adrenal tumor from a lung cancer is reported. A 63-year-old man, who had been operated on for an adenocarcinoma of the lung 7 month before was pointed out having a left adrenal tumor on computed tomography (CT). Hematological examination showed a high CEA level of 46.2ng/ml.<br> CT, abdominal ultrasonography, and magnetic resonance imaging (MRI) showed a left metastatic adrenal tumor from the lung cancer (well differentiated adenocarcinoma; t2n0M0 in stage II). The tumor was successfully resected. The adrenal tumor was confirmed a metastasis from the lung cancer by pathological examination. The postoperative course was uneventful and he had been treated by chemotherapy with CDDP, MMC and VDS from 14th post operative day. He was dischargd as cured on 42nd postoperative day.<br> Recentable metastatic adrenal cancer from lung cancer has been reported in only 13 cases in Japan including the present case. The metastatic adrenal tumor should be excised when the adrenal metastasis is solitary and the primary lesion is well-controlled.

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