Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report

We present a 60-year old woman with recurrent cervical adenocarcinoma who presented with metastasis to both lungs and to her right adrenal gland. A thoracotomy was performed for resection of her pulmonary metastasis and then the right adrenal gland was excised through a trans-diaphragmatic approach....

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Detalles Bibliográficos
Autores principales: Dorman, Robert B., Kreykes, Nathaniel S., Maddaus, Michael A., Payne, William D., Judson, Patricia L., Leslie, Daniel B., Ikramuddin, Sayeed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JSCR Publishing Ltd 2010
Materias:
Cardiothoracic Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649170/
https://www.ncbi.nlm.nih.gov/pubmed/24946362
http://dx.doi.org/10.1093/jscr/2010.9.10
Descripción
Sumario:We present a 60-year old woman with recurrent cervical adenocarcinoma who presented with metastasis to both lungs and to her right adrenal gland. A thoracotomy was performed for resection of her pulmonary metastasis and then the right adrenal gland was excised through a trans-diaphragmatic approach. The adrenal gland resection was more complex due to involvement of the tumor with the inferior vena cava (IVC) which was repaired with a PTFE patch graft. This case demonstrates both an interesting approach to surgical resection of multiple metastases as well as a safe, although more challenging, alternative to partially resect and repair the IVC.

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