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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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Copyright © 1998. Sociedad Española de Neumología y Cirugía Torácica
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