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Vol. 34. Issue 2.
Pages 99-101 (February 1998)
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Vol. 34. Issue 2.
Pages 99-101 (February 1998)
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Metástasis única suprarrenal por cáncer de pulmón
Suprarenal metastasis of lung cancer
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A. Arnau Obrer1, E. Martín Díaz, A. Cantó Armengod
Servicios de Cirugía Torácica, Hospital General Universitario de Valencia
S. Roch Pendería*
* Servicios de Radiodiagnóstico. Hospital General Universitario de Valencia
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Se presenta el caso de un varón de 46 años con cáncer de pulmón y metástasis única adrenal simultánea. La adrenalectomía se practicó 12 semanas tras la resección oncológica pulmonar. La vía de acceso adrenal fue mediante laparotomía subcostal derecha. Se completó el tratamiento con quimioterapia adyuvante. Doce meses tras la adrenalectomía el paciente se encuentra libre de enfermedad y su estado clínico es satisfactorio.

Con la bibliografía como referencia, se describen las ventajas del tratamiento quirúrgico de las metástasis suprarrenales y sus indicaciones. En casos determinados la supervivencia se puede ver favorecida con la exéresis y quimioterapia.

Palabras clave:
Cáncer de pulmón
Metástasis suprarrenal
Adrenalectomía

We describe the case of a 40-year-old man with lung cancer and simultaneous solitary adrenal metastases. Adrenalectomy was performed 12 weeks after lung resection through a right subcostal laparotomy. Treatment was complemented with chemotherapy. Twelve months after adrenalectomy the patient was found free of signs of disease and was in satisfactory condition.

The advantages of and indications for surgical resection of suprarenal metastasis are discussed in the light of published literature. In some cases, survival may improve with exeresis and chemotherpy.

Key words:
Lung cancer
Suprarenal metastasis
Adrenalectomy
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Bibliografía
[1.]
G. Raviv, E. Klein, A. Yellin, S. Schneebaum, G. Ben Ari.
Surgical treatment of solitary adrenal metastases from lung carcinoma.
J Surg Oncol, 43 (1990), pp. 123-124
[2.]
G. Motta, M.A. Nahum, E. Spinelli, T. Testa, A. Gasparo, E. De Bernardis, et al.
Adrenalectomy in meastasis of primary carcinoma: an emerging issue.
Ann Ital Chir, 67 (1996), pp. 661-667
[3.]
A. Piga, R. Bracci, E. Porfiri, R. Cellerino.
Metastatic tumors of the adrenals.
Minerva Endocrinol, 20 (1995), pp. 79-83
[4.]
S.C. Efremidis, F. Harsoulis, S. Douma, C. Zafidiarou, C. Zamboulis, A. Kouri.
Adrenal insufficiency with enlarged adrenals.
Abdom Imaging, 21 (1996), pp. 168-171
[5.]
C.Y. Lo, J.A. Van Heerden, J.A. Soreide, C.S. Grant, G.B. Thompson, R.V. Lloyd, W.S. Harmsen.
Adrenalectomy for metastatic disease to the adrenal glands.
Br J Surg, 83 (1996), pp. 528-531
[6.]
M.S. Berger, M.E. Cooley, J.L. Abrahm.
A pain syndrome associated with large adrenal metastases in patients with lung cancer.
J Pain Sympton Manage, 10 (1995), pp. 161-166
[7.]
E. Filon, E. Kodur, M. Cygan.
Ultrasonographic examination of the adrenal glands for detection of lung cancer metástasis.
Nowotwory, 39 (1989), pp. 157-161
[8.]
H.B. Eggesbæ, G. Hansen.
Clinical impact of adrenal expansive lesions in bronchial carcinoma.
Acta Radiol, 37 (1996), pp. 343-347
[9.]
M. Higashiyama, O. Doi, K. Kodama, H. Yokouchi, S. Imaoka, H. Koyama.
Surgical treatment of adrenal metastasis following pulmonary resection for lung cancer: comparison of adrenalectomy with palliative therapy.
Int Surg, 79 (1994), pp. 124-129
[10.]
P. Allard, B.C. Yankaskas, R.H. Fletcher, L.A. Parker, R.A. Halvorsen Jr..
Sensitivity and specificity of computed tomography for the detection of adrenal metastatic lesions among 91 autopsied lung cancer patients.
Cancer, 66 (1990), pp. 457-462
[11.]
M.M. McNicholas, M.J. Lee, W.W. Mayo-Smith, P.F. Hahn, G.W. Boland, P.R. Mueller.
An imaging algorithm for the differential diagnosis of adrenal adenomas and metastases.
Am J Roentgenol, 165 (1995), pp. 1.453-1.459
[12.]
G.W. Boland, M.J. Lee.
Magnetic resonance imaging of the adrenal gland.
Crit Rev Diagn Imaging, 36 (1995), pp. 115-174
[13.]
M. Burt, R.T. Heelan, D. Coit, P.M. McCormack, M.S. Bains, N. Martini, et al.
Prospective evaluation of unilateral adrenal masses in patients with operable non small cell lung cancer. Impact of magnetic resonance imaging..
J Thorac Cardiovasc Surg, 107 (1994), pp. 584-589
[14.]
M.E. Nielsen Jr., D.K. Heaston, N.R. Dunnick, M. Korobkin.
Preoperative CT evaluation of adrenal glands in non-small cell bronchogenic carcinoma.
Am J Roentgenol, 139 (1982), pp. 317-320
[15.]
H. Ayabe, H. Tsuji, S. Hara, Y. Tagawa, K. Kawahara, M. Tomita.
Surgical management of adrenal metástasis from bronchogenic carcinoma.
J Surg Oncol, 58 (1995), pp. 149-154
[16.]
A.J. Kirsch, M.C. Oz, M. Stoopler, M. Ginsburg, K. Steinglass.
Operative management of adrenal metastases from lung carcinoma.
Urology, 42 (1993), pp. 716-719
[17.]
P. Sperduto, A. Vaezy, A. Bridgman, L. Wilkie.
Spontaneus regression of squamous cell lung carcinoma with adrenal metastasis.
Chest, 94 (1988), pp. 887-889
[18.]
L. De Cannière, L. Michel, E. Hamoir, G. Hubens, M. Meurisse, J.P. Squifflet, P. Urban, L. Vereecken.
Videoendoscopic adrenalectomy: multicentric study from the Belgian Group for Endoscopic Surgery (BGES).
Intern Surg, 81 (1996), pp. 6-8
[19.]
J. Virseda, I. Hernández, A. Salinas, M. Martínez.
Vía de acceso transpleurodiafragmática posterior en patología suprarrenal.
Arch Esp Urol, 48 (1995), pp. 225-232
[20.]
F. Messiant, D. Duverger, I. Verheyde, N. Declerck, F.R. Pruvot, P. Scherpereel.
Postoperative acute adrenal insufficiency.
Ann Fr Anesth Reanim, 12 (1993), pp. 594-597
[21.]
J.D. Luketich, M.E. Burt.
Does resection of adrenal metastases from non-small cell lung cancer improve survival?.
Ann Thorac Surg, 62 (1996), pp. 1.614-1.616
[22.]
L.E. Stenbygaard, J.B. Sorensen, J.E. Olsen.
Metastatic pattem in adenocarcinoma of the lung. An autopsy study from a cohort of 137 consecutive patients with complete resection.
J Thorac Cardiovasc Surg, 110 (1995), pp. 1.130-1.135
[23.]
S. Short, A. Chaturvedi, M.D. Leslie.
Palliation of symptomatic adrenal gland metastases by radiotherapy..
Clin Oncol (R Coll Radiol), 8 (1996), pp. 387-389
Copyright © 1998. Sociedad Española de Neumología y Cirugía Torácica
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