結腸癌副腎転移の1例

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  • A RESECTED CASE OF ADRENAL METASTASIS FROM COLONIC CANCER

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We have experienced a case of solitary adrenal metastasis after a curative operation for a cancer of the descending colon. A 61-year-old man was underwent a curative operation for a cancer of the descending colon showed an incrase in serum level of carcinoembryonic antigen (CEA) 4 months after the operation. Abdominal ultrasnography and CT revealed a tumor of the right adrenal gland. It was thought to be a metastasis from the colonic cancer because no lesions had been detected by the preoperative examinations. We concluded that the patient was a possible candidate for surgical resection because neither local recurrence nor other metastases were seen. Right adrenalectomy including the tumor was performed. Histologically it was metastasis to the adrenal gland from the colonic cancer. The serum CEA decreased to a normal level and no recurrence has been detected for 3 years and 9 months since the adrenalectomy.<br> In some patients, solitary adrenal metastasis from colonic cancer apperas to be a good canditate for surgery in anticipation of a good prognosis.

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