Adrenal metastasis from endometrial cancer: A case report  

作　　者：Gianfranco Da Dalt Alberto Friziero Andrea Grego Simone Serafini Ambrogio Fassina Stella Blandamura Cosimo Sperti 

机构地区：[1]Department of Surgery,Oncology and Gastroenterology,3rd Surgical Clinic,University of Padua [2]Department of Medicine,Surgical Pathology and Cytopathology,University of Padua

出　　处：《World Journal of Clinical Cases》2019年第14期1844-1849,共6页世界临床病例杂志

摘　　要：BACKGROUND Metastases to adrenal glands originate principally from lung, breast, or gastrointestinal cancers, followed by malignant melanoma and thyroid neoplasms. We present an unusual case of uterine cancer metastasizing to the adrenal glands with a review of the English literature on the management of this rare disease. CASE SUMMARY A 53-year-old Caucasian woman with a history of endometrial cancer (grade 2;International Federation of Gynecology and Obstetrics III A) was hospitalized in November 2017 for a left adrenal mass found on a follow-up computed tomography scan 3 years after her gynecological surgery. Laboratory test results were normal. A laparoscopic left adrenalectomy was performed. The postoperative course was uneventful, and no chemotherapy was administered. The pathological report confirmed an adrenal endometrioid metastasis. At 36 mo of follow-up, the patient is alive and well, with no evidence of recurrent disease. A literature review identified only 11 previously-published cases of adrenal metastases from uterine cancer. CONCLUSION Adrenal metastasis from uterine cancer is very rare. Laparoscopic adrenalectomy may be an effective treatment in selected cases of localized adrenal metastasis.BACKGROUND Metastases to adrenal glands originate principally from lung, breast, or gastrointestinal cancers, followed by malignant melanoma and thyroid neoplasms. We present an unusual case of uterine cancer metastasizing to the adrenal glands with a review of the English literature on the management of this rare disease.CASE SUMMARY A 53-year-old Caucasian woman with a history of endometrial cancer(grade 2;International Federation of Gynecology and Obstetrics III A) was hospitalized in November 2017 for a left adrenal mass found on a follow-up computed tomography scan 3 years after her gynecological surgery. Laboratory test results were normal. A laparoscopic left adrenalectomy was performed. The postoperative course was uneventful, and no chemotherapy was administered.The pathological report confirmed an adrenal endometrioid metastasis. At 36 mo of follow-up, the patient is alive and well, with no evidence of recurrent disease.A literature review identified only 11 previously-published cases of adrenal metastases from uterine cancer.CONCLUSION Adrenal metastasis from uterine cancer is very rare. Laparoscopic adrenalectomy may be an effective treatment in selected cases of localized adrenal metastasis.

关 键 词：ADRENAL GLAND ADRENAL NEOPLASMS UTERINE cancer LAPAROSCOPY LAPAROSCOPIC surgery Case report 

分 类 号：R[医药卫生]