副腎皮質癌肝転移の1例

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タイトル別名
  • RESECTED ADRENAL CORTICAL CARCINOMA WITH LIVER METASTASIS

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An 83-year-old woman underwent low anterior resection in July 2002 for rectal carcinoma. A left adrenal tumor was found incidentally during CT prior to the first operation. The tumor was diagnosed as a nonfunctioning adrenal adenoma and was not resected at the first operation. She was readmitted in January 2003 for general examination. The left adrenal tumor had increased in size, and a liver tumor had appeared in CT scan, yielding a diagnosis of solitary liver metastasis and left adrenal metastasis from the rectal carcinoma and necessitating left adrenectomy and right lobectomy of the liver. Subsequent histological examination showed that the liver tumor was actually liver metastasis from a left adrenal cortical carcinoma. The patient died due to multiple liver metastases 8 months after the second operation. Adrenal cortical carcinoma is difficult to diagnose during its early stages, and we recommend that incidental adrenal tumors be carefully followed up.

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