Ozawa Tsuyoshi, Saito Shinsuke, Matsuura Sohei, Kishi Hirohisa, Maeda Mamoru, Watanabe Toshiaki
Department of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Department of Surgery, Doaikinen Hospital, Tokyo, Japan.
J Surg Case Rep. 2015 May 7;2015(5):rjv053. doi: 10.1093/jscr/rjv053.
A 72-year-old woman with a history of rectal cancer was admitted to our hospital to undergo thyroidectomy and left adrenalectomy. She had undergone low anterior resection and regional lymph node dissection for rectal cancer 52 months pre-admission (T3 N1 M0, stage IIIb according to International Union Against Cancer tumor-node-metastasis), and she had also undergone metastasectomy for lung metastases and right adrenal gland metastasis after the rectal surgery. Follow-up computed tomography scans detected nodules in the bilateral lobes of the thyroid gland and in the left adrenal gland. Subtotal thyroidectomy and left adrenalectomy were performed, and pathological examination revealed metastases of rectal cancer to the thyroid gland and left adrenal gland.
一名有直肠癌病史的72岁女性因计划接受甲状腺切除术和左肾上腺切除术入住我院。入院前52个月，她因直肠癌接受了低位前切除术和区域淋巴结清扫术（根据国际抗癌联盟肿瘤-淋巴结-转移分期为T3 N1 M0，IIIb期），并且在直肠手术后还接受了肺转移瘤切除术和右肾上腺转移瘤切除术。后续的计算机断层扫描在双侧甲状腺叶和左肾上腺发现结节。遂进行了甲状腺次全切除术和左肾上腺切除术，病理检查显示直肠癌转移至甲状腺和左肾上腺。
