Rodríguez Corchero J, Medina López R A, Barrero Candau R, Agüelles Salido E, Pérez Espejo M P, Pascual del Pobil Moreno J L
Servicio de Urología, Hospital Universitario Virgen del Rocio, Sevilla.
Actas Urol Esp. 2004 Jan;28(1):70-4. doi: 10.1016/s0210-4806(04)73040-5.
Adrenal metastases are more frequent than primary adrenal carcinoma. The most frequent are, in this order: breast and lung cancer, stomach and kidney carcinomas, adrenal gland contralateral tumors and melanoma. Less frequent are tumours of the bladder, colon, esophagus, gall bladder, liver, pancreas, prostate, stomach and uterus. The rest of the tumours rarely spread toward adrenal glands. The metastases to the adrenal glands caused by sarcomas are rare and normally they happen in the contest of a massive metastases affecting several organs at the same time. We present a case of a patient affected by adrenal metastases of Ewing's sarcoma who has been referred to us for surgical treatment because it is a unique metastases (there is no sing of more illnesses in other organs at the time of the exploration).
肾上腺转移瘤比原发性肾上腺癌更常见。按此顺序,最常见的是:乳腺癌和肺癌、胃癌和肾癌、肾上腺对侧肿瘤及黑色素瘤。膀胱、结肠、食管、胆囊、肝脏、胰腺、前列腺、胃和子宫的肿瘤较少见。其余肿瘤很少转移至肾上腺。肉瘤引起的肾上腺转移罕见,通常发生在同时累及多个器官的广泛转移情况下。我们报告一例尤因肉瘤肾上腺转移患者,因其为孤立性转移瘤(探查时其他器官未发现其他疾病迹象)而转诊至我院接受手术治疗。