Martin Jeremiah T, Alkhoury Fuad, Helton Scott, Fiedler Paul, Sakharova Olga, Yood Steven
Department of Surgery, Hospital of St. Raphael 1450 Chapel Street, New Haven, CT 06511 USA.
Cases J. 2009 Jul 2;2:7965. doi: 10.4076/1757-1626-2-7965.
We present the case of a 54-year-old woman who underwent right adrenalectomy for palliation of Cushing's symptoms. She had recently been diagnosed with lung adenocarcinoma. Pathologic findings revealed a 5 cm adrenal adenoma with a metastatic adenocarcinoma deposit. The occurrence of tumor-to-tumor metastasis is rare, and the finding of a metastasis within a functional adrenal adenoma exceptionally so. Previously reported incidences of this finding in patients with lung cancer range from 0.14% to 0.63%. We review the literature regarding this unusual finding.
我们报告一例54岁女性患者，其因库欣综合征症状缓解而接受了右侧肾上腺切除术。她最近被诊断为肺腺癌。病理检查发现一个5厘米的肾上腺腺瘤，伴有转移性腺癌病灶。肿瘤-to-肿瘤转移的情况罕见，而在功能性肾上腺腺瘤内发现转移灶则尤为罕见。先前报道的肺癌患者中出现这种情况的发生率为0.14%至0.63%。我们回顾了关于这一不寻常发现的文献。
