Gastrik kanser hastasında izole adrenal metastazın eş zamanlı rezeksiyonu

Uygar Demir; Pınar Yazıcı; Mehmet Mıhmanlı

doi:10.19161/etd.344122

EN TR

Concomitant resection of isolated adrenal metastasis in a gastric cancer patient

Abstract

Metastasis of gastric adenocarcinoma to the adrenal gland is rare. In the literature, adrenal gland metastasis has been reported generally during postoperative follow-up. We aimed to discuss a gastric cancer case with left adrenal gland metastasis diagnosed preoperatively and the simultaneous surgical resection of the gland during total gastrectomy with D2 dissection. A preoperative abdominal computed tomography (CT) scan revealed thickening of the adrenal gland in a 65-year-old male patient diagnosed with gastric adenocarcinoma located at the cardia. A positron emission tomography/computed tomography (PET-CT) scan was performed and showed an isolated adrenal metastasis. Total gastrectomy with D2 lymph node dissection and simultaneous left adrenalectomy were performed. The histopathological examination revealed gastric tumor tumor extending to the serosa (T4), 15 out of 43 lymph nodes positive (N3), adrenal gland metastasis (M1); thus stage 4 disease. There has been no metastasis in the 15-month follow-up period. Although management of metastasis in gastric carcinoma is controversial, we suggest the evaluation of the resection potential of isolated metastases in gastric cancer as performed in many other types of cancer.

Keywords

Adrenal metastasis, gastric cancer, surgical treatment

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Uygar Demir

Pınar Yazıcı

Mehmet Mıhmanlı

Publication Date

June 1, 2015

Submission Date

June 1, 2015

Acceptance Date

-

Published in Issue

Year 2015 Volume: 54 Number: 2

DOI

https://doi.org/10.19161/etd.344122

IZ

https://izlik.org/JA66SD53RF

Cite

RIS / Bibtex

APA

Demir, U., Yazıcı, P., & Mıhmanlı, M. (2015). Gastrik kanser hastasında izole adrenal metastazın eş zamanlı rezeksiyonu. Ege Tıp Dergisi, 54(2), 98-100. https://doi.org/10.19161/etd.344122

AMA

1.Demir U, Yazıcı P, Mıhmanlı M. Gastrik kanser hastasında izole adrenal metastazın eş zamanlı rezeksiyonu. EJM. 2015;54(2):98-100. doi:10.19161/etd.344122

Chicago

Demir, Uygar, Pınar Yazıcı, and Mehmet Mıhmanlı. 2015. “Gastrik Kanser Hastasında Izole Adrenal Metastazın Eş Zamanlı Rezeksiyonu”. Ege Tıp Dergisi 54 (2): 98-100. https://doi.org/10.19161/etd.344122.

EndNote

Demir U, Yazıcı P, Mıhmanlı M (June 1, 2015) Gastrik kanser hastasında izole adrenal metastazın eş zamanlı rezeksiyonu. Ege Tıp Dergisi 54 2 98–100.

IEEE

[1]U. Demir, P. Yazıcı, and M. Mıhmanlı, “Gastrik kanser hastasında izole adrenal metastazın eş zamanlı rezeksiyonu”, EJM, vol. 54, no. 2, pp. 98–100, June 2015, doi: 10.19161/etd.344122.

ISNAD

Demir, Uygar - Yazıcı, Pınar - Mıhmanlı, Mehmet. “Gastrik Kanser Hastasında Izole Adrenal Metastazın Eş Zamanlı Rezeksiyonu”. Ege Tıp Dergisi 54/2 (June 1, 2015): 98-100. https://doi.org/10.19161/etd.344122.

JAMA

1.Demir U, Yazıcı P, Mıhmanlı M. Gastrik kanser hastasında izole adrenal metastazın eş zamanlı rezeksiyonu. EJM. 2015;54:98–100.

MLA

Demir, Uygar, et al. “Gastrik Kanser Hastasında Izole Adrenal Metastazın Eş Zamanlı Rezeksiyonu”. Ege Tıp Dergisi, vol. 54, no. 2, June 2015, pp. 98-100, doi:10.19161/etd.344122.

Vancouver

1.Uygar Demir, Pınar Yazıcı, Mehmet Mıhmanlı. Gastrik kanser hastasında izole adrenal metastazın eş zamanlı rezeksiyonu. EJM. 2015 Jun. 1;54(2):98-100. doi:10.19161/etd.344122