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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2011-01-01
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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. |
format | Article |
id | doaj-art-4a588029043e43eaab9304bb94372095 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
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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