A Successfully Resected Case of Colonic Cancer with Synchronous Adrenal Metastasis

Akira Kamasako, Syunsuke Kawamoto, Reichirou Tanaka, Singo Shibasaki, Atsushi Murakami

The Department of Surgery, Mito National Hospital

A case of adrenal metastasis from colon carcinoma without any other organ metastases is reported. A 71-year-old woman was admitted complaining of abdominal pain. She was diagnosed as having sigmoid colon cancer associated with a right adrenal tumor. It was difficult to determine preoperatively whether the adrenal tumor was primary or metastatic. At laparotomy there was direct invasion to the uterus from the colon tumor, but was neither liver metastasis nor peritoneal carcinosis was present. A sigmoidocolectomy and hysterectomy associated with right adrenectomy and partial hepatectomy was performed. the histological diagnosis of the colon and adrenal tumor was well differentiated adenocarcinoma. Solitary metastasis to the adrenal gland from the colorectal carecinoma is rare.

Key words
colon carcinoma, adrenal metastasis

Reprint requests
Akira Kamasako The Department of Surgery, Mito National Hospital
3-2-1 Higashihara, Mito, 310 JAPAN

Accepted
July 5, 1995

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