[A Case of Brain, Lung, and Adrenal Metastasis from Colorectal Cancer Controlled by Loco-Regional Surgery].

Abstract

A 64-year-old man presented with the chief complaint of weakness in the left half of his body. He fell down on the road while riding a bicycle and was transported to the emergency room. A contrast-enhanced brain MRI revealed a 28mm ringshaped mass in the right frontal lobe. A craniotomy was performed 14 days later. The histopathological diagnosis showed the tumor as a well-differentiated tubular adenocarcinoma. Postoperative examination revealed a rectal cancer and a left lung mass. A low-anterior resection was performed 1 month after the craniotomy, and a partial lung resection was performed 2 months after the rectal excision. Metachronous solitary metastasis of the left adrenal gland was noticed 10 months after the removal of the lung metastasis and we subsequently performed a left adrenalectomy. The patient is not undergoing any active treatment 13 months after the adrenalectomy, but has no signs of recurrence. The loco-regional surgery was enabled for local control of multi-relapsed lesions from rectal cancer.

• Authors: Katsuya Ohta, Masakazu Ikenaga, Masami Ueda, Ryo Kato, Kiyotsugu Iede, Yujiro Tsuda, Shinsuke Nakashima, Jin Matsuyama, Hajime Kimura, Takatoshi Fujimoto, Masao Kobayashi, Yutaka Ono, Terumasa Yamada
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 47 Issue 2 Pg. 355-357 (Feb 2020) ISSN: 0385-0684 [Print] Japan
• PMID: 32381987 (Publication Type: Case Reports, Journal Article)

Topics

• Adrenal Gland Neoplasms (secondary)
• Brain Neoplasms (secondary)
• Humans
• Lung Neoplasms (secondary)
• Male
• Middle Aged
• Neoplasm Recurrence, Local
• Rectal Neoplasms