Growing occult synchronous adrenal metastasis from rectal cancer after surgery and during adjuvant chemotherapy: A Case Report

We report a case of an occult synchronous adrenal metastasis of rectal cancer. A left adrenal mass was found by computed tomography (CT) 6 months after low anterior resection for rectal cancer. This lesion was growing during adjuvant systemic chemotherapy. The level of serum carcinoembryonic antigen...

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Bibliographic Details
Published in:Central European journal of medicine 2011-02, Vol.6 (1), p.120-122
Main Authors: Ryu, Woo-Sang, Lee, Hye-Yoon, Ryu, Je-Seock, Um, Jun-Won, Min, Byung-Wook
Format: Article
Language:English
Subjects:
Adrenal metastasis
Biomedicine
Case Report
Internal Medicine
Maternal and Child Health
Medicine
Medicine & Public Health
Rectal
Reproductive Medicine
Surgery
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Summary:We report a case of an occult synchronous adrenal metastasis of rectal cancer. A left adrenal mass was found by computed tomography (CT) 6 months after low anterior resection for rectal cancer. This lesion was growing during adjuvant systemic chemotherapy. The level of serum carcinoembryonic antigen and that of adrenal hormones were within the normal range. Radical left adrenalectomy was performed, and histopathological examination revealed metastatic adenocarcinoma compatible with rectal cancer. Adrenal metastasis is not rare in autopsy series. The possibility of adrenal metastasis should be considered in the follow-up of rectal cancer patients. Surgery may be the treatment of choice in occult synchronous metastasis of adrenal gland in rectal cancer.
ISSN:1895-1058
2391-5463
1644-3640
2391-5463
DOI:10.2478/s11536-010-0059-9