Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature

Introduction. In patients with extra-adrenal malignancy, an adrenal mass necessitates investigating the possibility of metastatic tumor. Curable adrenal metastasis are considered as a rare event. Case report. A 52-year-old male suffering from lower esophageal adenocarcinoma with a solitary left adre...

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Main Authors: D. Dellaportas, P. Lykoudis, G. Gkiokas, G. Polymeneas, A. Kondi-Pafiti, D. Voros
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/487875
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author D. Dellaportas
P. Lykoudis
G. Gkiokas
G. Polymeneas
A. Kondi-Pafiti
D. Voros
author_facet D. Dellaportas
P. Lykoudis
G. Gkiokas
G. Polymeneas
A. Kondi-Pafiti
D. Voros
author_sort D. Dellaportas
collection DOAJ
description Introduction. In patients with extra-adrenal malignancy, an adrenal mass necessitates investigating the possibility of metastatic tumor. Curable adrenal metastasis are considered as a rare event. Case report. A 52-year-old male suffering from lower esophageal adenocarcinoma with a solitary left adrenal metastasis is presented herein, who underwent concomitant transhiatal esophagectomy and left adrenalectomy. The patient remains disease-free 18 months later. Discussion. Adrenal metastases mostly occur in patients with lung, kidney, breast, and gastrointestinal carcinomas. Primary esophageal adenocarcinoma gives adrenal metastatic deposits according to autopsy series with an incidence of about 3%–12%. When no other evidence of metastatic disease in cancer patients exists, several authors advocate adrenalectomy with curative intent. Isolated cases of long-term survival after resection of solitary adrenal metastasis from esophageal adenocarcinoma, like in our case, have been reported only as case reports. Conclusion. This study concludes that surgical resection may result in survival benefit in selected patients with solitary adrenal metastasis from esophageal adenocarcinoma.
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institution Kabale University
issn 1687-9627
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publishDate 2011-01-01
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series Case Reports in Medicine
spelling doaj-art-4a588029043e43eaab9304bb943720952025-02-03T05:48:17ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/487875487875Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the LiteratureD. Dellaportas0P. Lykoudis1G. Gkiokas2G. Polymeneas3A. Kondi-Pafiti4D. Voros52nd Department of Surgery, Aretaieion University Hospital, 115 28 Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, 115 28 Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, 115 28 Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, 115 28 Athens, Greece1st Department of Pathology, Aretaieion University Hospital, 115 28 Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, 115 28 Athens, GreeceIntroduction. In patients with extra-adrenal malignancy, an adrenal mass necessitates investigating the possibility of metastatic tumor. Curable adrenal metastasis are considered as a rare event. Case report. A 52-year-old male suffering from lower esophageal adenocarcinoma with a solitary left adrenal metastasis is presented herein, who underwent concomitant transhiatal esophagectomy and left adrenalectomy. The patient remains disease-free 18 months later. Discussion. Adrenal metastases mostly occur in patients with lung, kidney, breast, and gastrointestinal carcinomas. Primary esophageal adenocarcinoma gives adrenal metastatic deposits according to autopsy series with an incidence of about 3%–12%. When no other evidence of metastatic disease in cancer patients exists, several authors advocate adrenalectomy with curative intent. Isolated cases of long-term survival after resection of solitary adrenal metastasis from esophageal adenocarcinoma, like in our case, have been reported only as case reports. Conclusion. This study concludes that surgical resection may result in survival benefit in selected patients with solitary adrenal metastasis from esophageal adenocarcinoma.http://dx.doi.org/10.1155/2011/487875
spellingShingle D. Dellaportas
P. Lykoudis
G. Gkiokas
G. Polymeneas
A. Kondi-Pafiti
D. Voros
Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature
Case Reports in Medicine
title Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature
title_full Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature
title_fullStr Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature
title_full_unstemmed Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature
title_short Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature
title_sort solitary adrenal metastasis from esophageal adenocarcinoma a case report and review of the literature
url http://dx.doi.org/10.1155/2011/487875
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AT ggkiokas solitaryadrenalmetastasisfromesophagealadenocarcinomaacasereportandreviewoftheliterature
AT gpolymeneas solitaryadrenalmetastasisfromesophagealadenocarcinomaacasereportandreviewoftheliterature
AT akondipafiti solitaryadrenalmetastasisfromesophagealadenocarcinomaacasereportandreviewoftheliterature
AT dvoros solitaryadrenalmetastasisfromesophagealadenocarcinomaacasereportandreviewoftheliterature