O'Sullivan K E, Moriarty A R, Larkin J O, Reynolds J V
Department of Surgery, St James Hospital, Dublin, Ireland.
BMJ Case Rep. 2013 Apr 29;2013:bcr2013009657. doi: 10.1136/bcr-2013-009657.
Adrenal metastases of oesophageal adenocarcinoma are rarely detected in the clinical setting, more frequently being found as an incidental postmortem finding in the presence of widespread metastases. With improvements in the sensitivity of radiological diagnostic modalities, the incidence of adrenal tumour detection is on the rise. We report herein a particularly rare case of primary operative management by adrenalectomy for an isolated right-sided adrenal metastasis secondary to oesophageal adenocarcinoma, with a long-term survival.
食管腺癌的肾上腺转移在临床中很少被检测到，更常见的是在广泛转移的情况下作为偶然的尸检发现。随着放射诊断方法敏感性的提高，肾上腺肿瘤的检出率在上升。我们在此报告一例特别罕见的病例，该病例为一名继发于食管腺癌的孤立性右侧肾上腺转移患者，通过肾上腺切除术进行了初次手术治疗，并获得了长期生存。
