Sahasrabudhe Neil, Byers Richard
Royal Blackburn Hospital, Histopathology, Haslingden Road, Blackburn, BB23HH, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.06.2008.0190. Epub 2009 Apr 14.
Although adrenal glands are a common site of metastatic cancer, clinically significant haemorrhage into these is very uncommon with only a few cases having been previously published in the English literature. Here, a case of massive adrenal haemorrhage secondary to metastasis of lung cancer that led to the death of the patient is reported. To the best of our knowledge, such an acute death, without any prior medical attention or intervention, as a consequence of haemorrhagic adrenal metastasis has not been described before and is an important consideration in a person with lung cancer who dies unexpectedly.
尽管肾上腺是转移性癌的常见部位，但临床上肾上腺发生显著出血的情况非常罕见，仅有少数病例曾发表于英文文献中。本文报道了一例因肺癌转移继发肾上腺大出血导致患者死亡的病例。据我们所知，此前尚未有因出血性肾上腺转移导致急性死亡且未经过任何医疗关注或干预的相关描述，这对于意外死亡的肺癌患者来说是一个重要的考量因素。
