Korean J Intern Med.  2007 Mar;22(1):18-20. 10.3904/kjim.2007.22.1.18.

Adrenalectomy for Metastatic Disease to the Adrenal Gland from Gastric Cancer: Report of a Case

• Do YR
• Song HS
• Kim IH

• KMID: 1717988
• DOI: http://doi.org/10.3904/kjim.2007.22.1.18

Abstract

Metastases to the adrenal glands are frequently found at autopsy. In practice, adrenal metastases have generally been accepted as evidence of blood-borne systemic disease. So, clinically curable adrenal metastases is a rare malady. The role for surgical resection in adrenal metastases has not been clearly defined. A 45-year-old man initially underwent total gastrectomy with D2 lymph node dissection for treating his advanced gastric cancer. A solitary adrenal metastases was resected 1 year later. The patient has survived for 3 years and no further evidence of disease was found on his last follow-up examination. We report here on this case to show that for selected cases, surgical resection of adrenal metastases is feasible and this procedure may extend survival for metastatic gastric cancer patients.

Keyword

Gastric cancer; Metastases; Adrenalectomy

MeSH Terms

Stomach Neoplasms/*pathology/surgery
Middle Aged
Male
Humans
Gastrectomy
*Adrenalectomy
Adrenal Gland Neoplasms/*secondary/*surgery
Adenocarcinoma/pathology/surgery