Napolitano L, Francomano F, Ricci A, Napolitano A M
Istituto di Patologica Chirurgica, Università degli Studi G. D'Annunzio-Chieti.
G Chir. 1997 Nov-Dec;18(11-12):793-6.
Reports on successful surgical treatment of patients with non-small lung carcinoma and adrenal metastasis are infrequent. For this reason the Authors believe interesting to report a case of a patient with non-small lung cancer and single adrenal metastasis who underwent lung superior lobectomy and, after chemotherapy, adrenalectomy. A relapse was observed one year later in the lumbar region and the patient was reoperated undergoing removal of the recurrence associated to splenectomy and pancreas tail resection; thereafter the patient was treated with local radiotherapy. Forty-one months after the first operation the patient is well and disease free.
关于非小细胞肺癌伴肾上腺转移患者成功手术治疗的报道并不常见。因此，作者认为报告一例非小细胞肺癌伴单一肾上腺转移患者的病例很有意思，该患者接受了肺上叶切除术，并在化疗后进行了肾上腺切除术。一年后在腰椎区域观察到复发，患者再次接受手术，切除复发灶并进行了脾切除术和胰尾切除术；此后患者接受了局部放疗。首次手术后41个月，患者情况良好，无疾病复发。
