A Case of 18FDG PET/CT-Positive Adrenal Adenoma Suspected of Being Adrenal Metastasis of Synchronous Triple Cancer

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  • Tani Masaru
    The Department of Urology, Osaka University Graduate School of Medicine
  • Abe Toyofumi
    The Department of Urology, Osaka University Graduate School of Medicine
  • Fukuhara Shinichiro
    The Department of Urology, Osaka University Graduate School of Medicine
  • Fujita Kazutoshi
    The Department of Urology, Osaka University Graduate School of Medicine
  • Uemura Motohide
    The Department of Urology, Osaka University Graduate School of Medicine
  • Kiuchi Hiroshi
    The Department of Urology, Osaka University Graduate School of Medicine
  • Imamura Ryoichi
    The Department of Urology, Osaka University Graduate School of Medicine
  • Nonomura Norio
    The Department of Urology, Osaka University Graduate School of Medicine

Bibliographic Information

Other Title
  • 転移性副腎腫瘍との鑑別が困難であった同時性3重複癌に合併した18FDG PET/CT陽性の副腎腺腫の1例
  • テンイセイ フクジン シュヨウ ト ノ カンベツ ガ コンナン デ アッタ ドウジセイ 3 チョウフクガン ニ ガッペイ シタ ¹ ⁸ FDG PET/CT ヨウセイ ノ フクジンセン シュ ノ 1レイ

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Description

A 66-year-old man was referred to our hospital because of positive fecal occult blood test. Gastric and rectal cancers were diagnosed by upper and lower endoscopic biopsy, respectively. Enhanced computed tomography (CT) indicated a pulmonary tumor and a left adrenal mass with a diameter of 15 mm presenting heterogenous enhancement. The pulmonary tumor was diagnosed as adenocarcinoma by bronchoscopic biopsy. F18 fluoro-2-deoxy D-glucose (FDG) PET/CT showed abnormal FDG accumulation (maximum standardized uptake value=26. 1) in the left adrenal mass consistent with a metastatic adrenal tumor. Although radical surgical therapy was performed for the synchronous triple cancers of gastric, colon, and lung cancer, the patient refused adrenalectomy for the left adrenal tumor. One year after surgery, CT revealed an increase in the adrenal tumor diameter to 18 mm without development of new metastases. Laparoscopic adrenalectomy was performed for the left adrenal tumor which was strongly suspected of being a metastatic tumor. Pathological diagnosis was adrenal cortical adenoma. There has been no recurrence for 5 years after surgery for simultaneous triple cancer.

Journal

  • 泌尿器科紀要

    泌尿器科紀要 66 (3), 77-80, 2020-03-31

    泌尿器科紀要刊行会

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