| Popis: |
A 78-year-old man was seen at the department of medicine in the hospital because of heartburn in June 1991. Close examination revealed a gastric cancer of Borrmann type 2 in the lesser curvature under the cardiac part of the stomach. Total gastrectomy was carried out on August 6, 1991. Histopathologically it was poorly differentiated adenocarcinoma of ssβ, INFβ, ly0, v1, and n2. The patient was discharged from the hospital and followed on an ambulant basis. In February 1992 he was pointed out having a tumor in the left adrenal gland by CT, and its enlargement was confirmed by CT in June of this year. Under a suspicion of adrenal metastasis of gastric cancer, left adrenalectomy was performed on July 15 1992. Excised specimen was 60×44×30mm in size and 55 g in weight. The cross section was comprized of yellowish white segments with remnant normal adrenal tissue partially. Histopathologically the tumor was diagnosed as adrenal matastasis of gastric cancer. Postoperative course was uneventful. The patient was discharged from the hospital, and is followed on an ambulant basis. There has been no recurrence, as of 18 months after the first operation. Resected adrenal matastasis of gastric cancer after gastrectomy is very rare. Only 3 cases including this case have been seen in the literature as far as we could review. |
