Owecki Maciej, Baszko-Błaszyk Daria, Waśko Ryszard, Sowiński Jerzy
Katedra i Klinika Endokrynologii, Przemiany Materii i Chorób Wewnetrznych AM w Poznaniu.
Pol Merkur Lekarski. 2005 Feb;18(104):216-8.
Adrenal carcinoma is a malignant disease that often results in distant metastases to different organs, including the lungs. While diagnosing patients with suspected adrenal carcinoma, metastases to the lungs should always be considered. The opposite clinical situation also should be considered, i.e. lung cancer metastases to the adrenal gland. Both conditions may have a very similar course and their differential diagnosis may be sometimes very difficult. However, proper diagnosis is of great importance because both diseases are treated by different means. We present a case of a 50-year-old female patient with a small primary focus of non-small cell lung carcinoma and its large metastasis to the left adrenal gland, accompanied by SIADH and paraneoplastic hypercalcemia. In the presented case adrenal carcinoma and its lung metastasis were primarily misdiagnosed which led to unnecessary laparotomy. The proper diagnosis was enabled by CT guided biopsy of the lung tumor.
肾上腺癌是一种恶性疾病，常导致远处转移至包括肺在内的不同器官。在诊断疑似肾上腺癌的患者时，应始终考虑肺部转移的情况。相反的临床情况也应予以考虑，即肺癌转移至肾上腺。这两种情况可能有非常相似的病程，其鉴别诊断有时可能非常困难。然而，正确的诊断非常重要，因为这两种疾病的治疗方法不同。我们报告一例50岁女性患者，患有非小细胞肺癌的小原发灶及其转移至左肾上腺的大转移灶，并伴有抗利尿激素分泌异常综合征和副肿瘤性高钙血症。在本病例中，肾上腺癌及其肺转移最初被误诊，导致了不必要的剖腹手术。通过对肺部肿瘤进行CT引导下活检得以做出正确诊断。
