A Case of Resected Gastric Cancer with Synchronous Huge Adrenal Metastasis

Fumio Aoki, Masatsugu Kitamura, Kuniyoshi Arai, Kaoru Miyashita, Yoshiaki Iwasaki

Department of Surgery, Tokyo Metropolitan Komagome Hospital

We report a case of resected gastric and transverse colonic cancers with synchronous adrenal metastasis which is free from recurrence for 2 years and 9 months after the operation. The patient was a 67-year-old man with occult blood in his stool and was diagnosed as having synchronous gastric and transverse colonic cancers. A huge adrenal metastasis was found on the CT scan, whereas no metastasis to the lung, liver, lymph nodes, or peritoneum was seen. We thought that it was possible to remove the visible tumors, and performed lower esophagectomy, total gastrectomy, resection of the adrenal metastasis, and transverse colectomy with lymph node dissection. Histological findings of the adrenal tumor were compatible with gastric cancer, and also revealed that the hematogenous metastasis was from the gastric cance, because normal adrenal tissue was present between the adrenal tumor and the main lesion. This is the first case, as far as we could tell from the literature in which synchronous adrenal metastasis of gastric cancer was removed at the time of gastrectomy.

Key words
metastatic adrenal tumor, adrenal metastasis of gastric cancer

Reprint requests
Fumio Aoki Department of Surgery, Tokyo Metropolitan Komagome Hospitail
JAPAN

Accepted
February 8, 1995

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