Synchronous contralateral adrenal metastasis of colorectal cancer: case report

Raíces, Micaela; Boccalatte, Luis Alejandro; Rossi, Gustavo; Wright, Fernando

doi:10.1093/jscr/rjx098

Journal of Surgical Case Reports

2017

DOI: 10.1093/jscr/rjx098

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Synchronous contralateral adrenal metastasis of colorectal cancer: case report

Micaela Raíces

Luis Alejandro Boccalatte

Gustavo Rossi

et al.

Abstract: The most frequent sites of distant metastasis of colorectal cancer (CRC) are primarily liver and lung, followed by brain and bone metastases. Infrequently, metastases are found in the adrenal glands. They usually have a metachronous and homolateral character. We present a case of contralateral synchronic adrenal metastasis of CRC and its surgical resolution.

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Cited by 2 publications

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Surgical resection of adrenal metastasis from colorectal cancers: a systematic review

Nguyen,

Wong,

2024

ANZ Journal of Surgery

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BackgroundThe decision for resection of adrenal metastasis from colorectal cancers remain controversial and there is no proposed standard treatment. The aim of the article is to review the available literature on outcomes and complications rates following adrenalectomy for adrenal metastasis from colorectal cancer.MethodsRelevant papers were identified through electronic databases. Data was extracted independently by two authors on a Microsoft Excel spreadsheet up to June 2023.ResultsA total of 55 studies were included in the final analysis (145 cases). A large proportion of patients had an uneventful postoperative recovery following surgical adrenalectomy. The mean length of follow up ranged from 2 months to 9.5 years. A total of 33 (22.8%) patients were alive and well with no evidence of local or systemic recurrence; 2 (1.4%) patients had recurrence in the bed of adrenalectomy; 2 (1.4%) patients were alive with recurrence in the contralateral adrenal gland; 4 (2.8%) patients were alive with extra‐adrenal metastasis, and 7 (4.8%) patients were alive and well with no comments regarding local and systemic recurrence. Post‐operative mortality following adrenalectomy was uncommon: 1 patient died due to systemic sepsis following anastomotic leak. 17.2% of patients died due to disease progression.ConclusionIf complete resection can be achieved, surgical adrenalectomy in the surgically fit patient should be strongly considered, especially in patients with solitary adrenal metastasis which may translate into survival benefits and potential surgical cure.

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Surgical resection of adrenal metastasis from colorectal cancers: a systematic review

Nguyen,

Wong,

2024

ANZ Journal of Surgery

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Solitary metastasis of colorectal cancer in the left adrenal gland 4 years after surgery on the primary tumor. Case report

Budurova,

Trifanov,

Kopylov

et al. 2023

J. Mod. Onco.

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Colorectal cancer (CRC) is one of the most common oncological diseases. On average, in 20–25% of cases after radical surgical treatment of CRC, the progression of the disease in the form of metachronous metastases in the liver and lungs, as the most common localization of CRC metastases, is noted in patients. With the advent of new drug treatment strategies for CRC, there is an increase in overall survival, as a result of which CRC metastases in the adrenal glands have become more common than previously thought, and the number of published reports of cases of CRC metastasis in the adrenal glands has increased. In this article, we report a rare clinical observation of metachronous solitary metastasis of CRC to the left adrenal gland 4 years after radical surgical treatment of the primary tumor: the patient underwent radical left-sided adrenalectomy. The period of observation of the patient without signs of progression and relapse of the disease is 6 months (at the time of publication).

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Synchronous contralateral adrenal metastasis of colorectal cancer: case report

Cited by 2 publications

References 10 publications

Surgical resection of adrenal metastasis from colorectal cancers: a systematic review

Surgical resection of adrenal metastasis from colorectal cancers: a systematic review

Solitary metastasis of colorectal cancer in the left adrenal gland 4 years after surgery on the primary tumor. Case report

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