Korean J Med.  2002 Dec;63(6):692-695.

Adrenalectomy for solitary adrenal metastasis from colon cancer

• Lee RY
• Park JH

Abstract

A 68 year-old woman visited our hospital because of constipation and hematochezia. Colonoscopy revealed an invasive fungating mass with a narrowing of lumen and severe ulceration at the sigmoid colon. An abdominal/pelvic CT scan showed an irregular wall thickening with a 10cm long narrowing at the sigmoid colon, and a 2 cm long right adrenal mass. We did an anterior resection and adrenalectomy. The histology of the specimens of the resected sigmoid colon and adrenal gland was the same. Finally, we diagnosed this case as being an adrenal metastasis from an advanced sigmoid colon cancer. The patient has been well for a year since the adrenalectomy, and been treated by the oral chemotherapeutic agent: doxifluridine 600 mg, leucovorin 90 mg.

Keyword

Colon Cancer; Adrenal Metastasis; Adrenalectomy

MeSH Terms

Adrenal Glands
Adrenalectomy*
Aged
Colon*
Colon, Sigmoid
Colonic Neoplasms*
Colonoscopy
Constipation
Female
Gastrointestinal Hemorrhage
Humans
Leucovorin
Neoplasm Metastasis*
Sigmoid Neoplasms
Tomography, X-Ray Computed
Ulcer
Leucovorin