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Japanese Journal of Clinical Oncology 30:414-416 (2000)
© 2000 Foundation for Promotion of Cancer Research

Adrenalectomy for Solitary Adrenal Metastasis from Colorectal Carcinoma

Atom Katayama, Ken-ichi Mafune and Masatoshi Makuuchi

+Department of Surgery, The University of Tokyo Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

A 60-year-old man underwent anterior resection for advanced rectal carcinoma. Seven years and 2 months later, right lower pneumonectomy was performed for a metastatic lung tumor. Two years and 2 months thereafter, left adrenalectomy was performed for solitary adrenal metastasis. The patient remained disease-free for 10 months postoperatively, until multiple lung metastases appeared. The patient is alive and well, under mild chemotherapy with oral doxifluridine, 3 years and 5 months after left adrenalectomy. We conclude that patients with solitary adrenal metastasis may benefit from surgical resection and that resection could be considered as a therapy for solitary adrenal metastasis from colorectal carcinoma.

+ For reprints and all correspondence: Atom Katayama, Second Department of Surgery, Faculty of Medicine, The University of Tokyo, 7–3–1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. E-mail: katayama-2su@h.u-tokyo.ac.jp


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