Author/Authors :
Kaçan, Turgut Cumhuriyet University - School of Medicine - Departments of Medical Oncology, Turkey , Kılıçkap, Saadettin Cumhuriyet University - School of Medicine - Departments of Medical Oncology, Turkey , Babacan, Nalan Akgün Cumhuriyet University - School of Medicine - Departments of Medical Oncology, Turkey , Şeker, Mehmet Metin Cumhuriyet University - School of Medicine - Departments of Medical Oncology, Turkey , Yücel, Birsen Cumhuriyet University - School of Medicine - Departments of Radiation Oncology, Turkey , Olçaş, İlknur Koç Cumhuriyet University - School of Medicine - Departments of Internal medicine, Turkey , Gültekin, Gülşah Cumhuriyet University - School of Medicine - Departments of Internal medicine, Turkey , Eren, Mehmet Fuat Cumhuriyet University - School of Medicine - Department of Radiation Oncology, Turkey , Eren, Ayfer Ay Cumhuriyet University - School of Medicine - Department of Radiation Oncology, Turkey
Abstract :
Among all cancers, colorectal cancer is the second leading cause of cancer related death. Liver and lung are known as the main metastatic sites of colorectal cancer, on the other hand the metastasis of adrenal is clinically rare. Formerly, metastases were detected at autopsy, but due to improved imaging and diagnostic techniques, many of these lesions now can be detected on routine follow-up imaging. Patients with adrenal metastasis are considered having systemic spread and therefore unsuitable for surgical resection. That’s why, isolated adrenal metastasis presents a therapeutic dilemma in colorectal cancer patients. In this case, we report an adrenal mass in a patient with colorectal cancer to whom rectosigmoidectomy, colectomy and adrenal metastasectomy were performed. The adrenal mass was benign. For solitary and resectable lesions adrenalectomy can be performed and prolonged survival can be achieved in selected patients. Also, this enables to achieve right histopathological diagnosis.
