Watatani M, Ooshima M, Wada T, Terashita H, Matsuda T, Shindo K, Yasutomi M
First Department of Surgery, Kinki University School of Medicine, Osaka-Sayama, Japan.
Surg Today. 1993;23(5):444-8. doi: 10.1007/BF00309504.
We report herein three cases of patients with adrenal metastases from colorectal carcinoma. Recurrent disease was suspected following markedly elevated levels of serum carcinoembryonic antigen (CEA), and adrenal metastases were confirmed by computed tomography (CT) scanning in all three patients. The adrenal metastasis was solitary in one patient and this patient is still alive and free from disease 1 year after undergoing complete removal of the adrenal metastasis. On the other hand, metastatic disease was not limited to the adrenal gland in the other two patients and both died of recurrent disease, 33 months and 4 months after undergoing removal of the adrenal metastases, respectively. Thus, although the prognosis of adrenal metastasis from colorectal cancer is usually poor, we believe that patients with a solitary adrenal metastasis will benefit from complete removal of the metastasis.
我们在此报告三例结直肠癌肾上腺转移患者。血清癌胚抗原（CEA）水平显著升高后怀疑疾病复发，所有三例患者均经计算机断层扫描（CT）确诊为肾上腺转移。其中一例患者的肾上腺转移为孤立性，该患者在肾上腺转移灶完全切除术后1年仍存活且无疾病复发。另一方面，另外两例患者的转移疾病不限于肾上腺，分别在肾上腺转移灶切除术后33个月和4个月死于疾病复发。因此，尽管结直肠癌肾上腺转移的预后通常较差，但我们认为孤立性肾上腺转移患者将从转移灶的完全切除中获益。
