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Surgery Today

, Volume 29, Issue 12, pp 1277–1279 | Cite as

Laparoscopic adrenalectomy for solitary metachronous adrenal metastasis from lung cancer: Report of a case

  • Yoshihiko Tsuji
  • Masao Yasuhuku
  • Tomoki Haryu
  • Yoshihisa Watanabe
  • Keiji Ataka
  • Masayoshi Okada
Case Reports

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.

Key Words

laparoscopic adrenalectomy adrenal metastasis lung cancer 

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Copyright information

© Springer-Verlag 1999

Authors and Affiliations

  • Yoshihiko Tsuji
    • 1
  • Masao Yasuhuku
    • 1
  • Tomoki Haryu
    • 1
  • Yoshihisa Watanabe
    • 1
  • Keiji Ataka
    • 1
  • Masayoshi Okada
    • 1
  1. 1.Department of Surgery, Division IIKobe University School of MedicineKobeJapan

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