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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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Autores principales: Dellaportas, D., Lykoudis, P., Gkiokas, G., Polymeneas, G., Kondi-Pafiti, A., Voros, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199124/
https://www.ncbi.nlm.nih.gov/pubmed/22028724
http://dx.doi.org/10.1155/2011/487875
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author Dellaportas, D.
Lykoudis, P.
Gkiokas, G.
Polymeneas, G.
Kondi-Pafiti, A.
Voros, D.
author_facet Dellaportas, D.
Lykoudis, P.
Gkiokas, G.
Polymeneas, G.
Kondi-Pafiti, A.
Voros, D.
author_sort Dellaportas, D.
collection PubMed
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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spelling pubmed-31991242011-10-25 Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature Dellaportas, D. Lykoudis, P. Gkiokas, G. Polymeneas, G. Kondi-Pafiti, A. Voros, D. Case Rep Med Case Report 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. Hindawi Publishing Corporation 2011 2011-10-19 /pmc/articles/PMC3199124/ /pubmed/22028724 http://dx.doi.org/10.1155/2011/487875 Text en Copyright © 2011 D. Dellaportas et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Dellaportas, D.
Lykoudis, P.
Gkiokas, G.
Polymeneas, G.
Kondi-Pafiti, A.
Voros, D.
Solitary Adrenal Metastasis from Esophageal Adenocarcinoma: A Case Report and Review of the Literature
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199124/
https://www.ncbi.nlm.nih.gov/pubmed/22028724
http://dx.doi.org/10.1155/2011/487875
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