A Rare Case of Adrenal Metastasis Diagnosed before Discovery of Invasive Ductal Breast Cancer which was Confirmed to Be the Primary Site

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  • KAMIDO Satoshi
    The Department of Urology, Osaka University Graduate School of Medicine
  • KAKUTA Yoichi
    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
  • MIYAGAWA Yasushi
    The Department of Urology, Osaka University Graduate School of Medicine
  • NONOMURA Norio
    The Department of Urology, Osaka University Graduate School of Medicine

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Other Title
  • 原発巣の同定に難渋した浸潤性乳管癌副腎転移の1例
  • ゲンパツ ソウ ノ ドウテイ ニ ナンジュウ シタ シンジュンセイニュウカンガン フクジン テンイ ノ 1レイ

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Abstract

A 54-year-old female underwent open left adrenalectomy for a left adrenal tumor in 2013. The pathology showed metastatic poorly differentiated adenocarcinoma. Despite a close examination, the primary tumor could not be identified. During the follow-up, a computed tomographic scan showed a hyper vascular tumor in the left breast in2015. A left mastectomy was performed for diagnosis and treatment. The pathology showed invasive ductal carcinoma of the breast. Comparing the histopathology and immunohistochemistry of the breast tumor with the adrenal tumor, the adrenal tumor was finally confirmed as metastatic invasive ductal carcinoma. Adrenal gland metastasis from invasive ductal carcinoma is said to be extremely rare. To our knowledge, there have been no reports of cases in which metastatic invasive ductal carcinoma of the adrenal gland was found before the primary site. We report this case with some literature review.

Journal

  • 泌尿器科紀要

    泌尿器科紀要 68 (7), 239-243, 2022-07-31

    泌尿器科紀要刊行会

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