Abstract
We report herein the case of a 69-year-old man who underwent laparoscopic adrenalectomy for a solitary adrenal metastasis 10 months after a left lower lobectomy for T2N1M0 lung cancer. A 30×20 mm tumor was found in the left adrenal gland, and dissected using an ultrasonically activated scalpel. Histological examination revealed metastatic squamous cell carcinoma. The patient recovered uneventfully and his condition is now stable 18 months after the second operation, with no evidence of local recurrence or metastatic disease. Although laparoscopic resection for malignant adrenal tumors is still controversial, we consider that laparoscopic adrenalectomy may be an optional treatment for metastatic adrenal tumors, provided the tumor is solitary, small in size, and well-localized. To our knowledge, only 14 cases of laparoscopic adrenalectomy for malignant tumors have been reported to date; however, this is the first case of successful laparoscopic adrenalectomy for a metastasis from lung cancer.
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References
Luketich JD, Burt ME (1996) Does resection of adrenal metastases from non-small cell lung cancer improve survival? Ann Thorac Surg 62:1614–1616
Porte HL, Roumilhac D, Graziana JP, Eraldi L, Cordonier C, Puech P, Wurtz AJ (1998) Adrenalectomy for a solitary adrenal metastasis from lung cancer. Ann Thorac Surg 65:331–335
Higashiyama M, Doi O, Kodama K, Yokouchi H, Imaoka S, Koyama H (1994) Surgical treatment of adrenal metastasis following pulmonary resection for lung cancer: comparison of adrenalectomy with palliative therapy. Int Surg 79:124–135
Gagner M, Lacroix A, Bolte E (1992) Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma. N Engl J Med 327:1033
Suzuki K, Ushiyama T, Mugiya S, Kageyama S, Saisu K, Fujita K (1997) Hazards of laparoscopic adrenalectomy in patients with adrenal malignancy. J Urol 158:2227
Elashry OM, Clayman RV, Soble JJ, McDougall EM (1997) Laparoscopic adrenalectomy for solitary metachronous contralateral adrental metastasis from renal cell carcinoma. J Urol 157:1217–1222
Gagner M, Breton G, Pharand D, Pomp A (1996) Is laparoscopic adrenalectomy indicated for pheochromocytomas? Surgery 120:1076–1080
Duh QY, Siperstein AE, Clark OH, Schecter WP, Horn JK, Harrison MR, Hunt TK, Way LW (1996) Laparoscopic adrenalectomy. Comparison of the lateral and posterior approaches. Arch Surg 131:870–876
Ushiyama T, Suzuki K, Kageyama S, Fujita K, Oki Y, Yoshimi T (1997) A case of Cushing's syndrome due to adrenocortical carcinoma with recurrence 19 months after laparoscopic adrenalectomy. J Urol 157:2239
Sand J, Saaristo J, Nordback I, Auvinen O (1997) Posterior approach for adrenal surgery: experiences with 59 patients. Ann Chir Gynaecol 86:234–237
Heniford BT, Iannitti DA, Hale J, Gagner M (1997) The role of intraoperative ultrasonography during laparoscopic adrenalectomy. Surgery 122:1068–1074
de Canniere L, Michel L, Hamoir E, Hubens G, Meurisse M, Squifflet JP, Urbain P, Vereecken L (1997) Multicentric experience of the Belgian Group for Endoscopic Surgery (BGES) with endoscopic adrenalectomy. Surg Endosc 11:1065–1067
Terachi T, Matsuda T, Terai A, Ogawa O, Kakehi Y, Kawakita M, Shichiri Y, Mikami O, Takeuchi H, Okada Y, Yoshida O (1997) Transperitoneal laparoscopic adrenalectomy: experience in 100 patients. J Endourol 11:361–365
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Tsuji, Y., Yasuhuku, M., Haryu, T. et al. Laparoscopic adrenalectomy for solitary metachronous adrenal metastasis from lung cancer: Report of a case. Surg Today 29, 1277–1279 (1999). https://doi.org/10.1007/BF02482223
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DOI: https://doi.org/10.1007/BF02482223