Tokue Hiroyuki, Tokue Azusa, Tsushima Yoshito
Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan.
J Ovarian Res. 2014 Jan 13;7:5. doi: 10.1186/1757-2215-7-5.
A 60-year-old woman presented with synchronous adrenal metastasis and an inferior vena cava tumor thrombus in the adrenal vein that developed from an ovarian carcinoma. The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, and right adrenalectomy with caval tumor thrombectomy for treatment. Microscopic examination revealed a clear cell ovarian carcinoma and a metastatic adrenal tumor. The patient is clinically free of disease after 6 years of follow-up. There have been no reports of synchronous adrenal metastasis with an inferior vena cava thrombus that developed from an ovarian carcinoma. As several reports have described the long-term survival after adrenalectomy for the treatment of isolated adrenal metastasis, clinicians should be aware of this potential occurrence so that patients can be appropriately treated.
一名60岁女性患者出现同步性肾上腺转移瘤及肾上腺静脉内下腔静脉肿瘤血栓，该血栓由卵巢癌发展而来。患者接受了全腹子宫切除术、双侧输卵管卵巢切除术及右侧肾上腺切除术并进行了腔静脉肿瘤血栓切除术以进行治疗。显微镜检查显示为透明细胞卵巢癌及转移性肾上腺肿瘤。经过6年随访，患者临床无疾病迹象。此前尚无卵巢癌并发同步性肾上腺转移瘤及下腔静脉血栓的报道。由于有几份报告描述了肾上腺切除术后孤立性肾上腺转移瘤治疗后的长期生存情况，临床医生应意识到这种潜在情况的发生，以便对患者进行适当治疗。
