Katayama A, Mafune K, Makuuchi M
Department of Surgery, The University of Tokyo Graduate School of Medicine, The University of Tokyo, Japan.
Jpn J Clin Oncol. 2000 Sep;30(9):414-6. doi: 10.1093/jjco/hyd104.
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.
一名60岁男性因晚期直肠癌接受了前切除术。7年零2个月后，因肺转移瘤进行了右下肺切除术。此后2年零2个月，因孤立性肾上腺转移进行了左肾上腺切除术。患者术后无病生存10个月，直到出现多处肺转移。在左肾上腺切除术后3年零5个月，患者在口服多西氟啶进行轻度化疗的情况下，目前仍存活且状况良好。我们得出结论，孤立性肾上腺转移患者可能从手术切除中获益，并且手术切除可被视为结直肠癌孤立性肾上腺转移的一种治疗方法。
