Long-term recurrence-free survivor after laparoscopic removal of solitary adrenal metastasis from endometrial adenocarcinoma

  • Izaki Hirofumi
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Takahashi Masayuki
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Shiirevnyamba Avirmed
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Taue Ryuichi
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Furumoto Hiroyuki
    Department of Gynecology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Bando Yoshimi
    Division of Pathology, Tokushima University Hospital
  • Murakami Yoshihide
    Department of Urology, Tokushima Municipal Hospital
  • Fukawa Tomoya
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Koizumi Takahiro
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Yamamoto Yasuyo
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Yamaguchi Kunihisa
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Nakatsuji Hiroyoshi
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Kishimoto Tomoteru
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Fukumori Tomoharu
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Kanayama Hiro-omi
    Department of Urology, Institute of Health Biosciences, the University of Tokushima Graduate School

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説明

Solitary adrenal metastasis from endometrial adenocarcinoma is extremely rare. We report herein the case of a laparoscopically resected solitary adrenal metastasis originating from endometrial adenocarcinoma. The patient was a 55-year-old woman who had undergone total abdominal hysterectomy for stage IIIc endometrial carcinoma, followed by 7 courses of adjuvant chemotherapy comprising carboplatin and paclitaxel. However, the patient developed an isolated right adrenal metastasis 15 months postoperatively. The solitary adrenal metastasis (diameter, 5.7 cm) was removed laparoscopically. The patient has now been in good health without recurrence for 5 years and 7 months after laparoscopic surgery. To the best of our knowledge, this is the first case of solitary adrenal metastasis originating from endometrial adenocarcinoma that is controlled for the long term by successful laparoscopic resection. J. Med. Invest. 57: 174-177, February, 2010

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