title: [Radiation therapy for adrenal metastases].
abstract: OBJECTIVE
  To evaluate the role of radiation therapy for adrenal metastases.
  
  
  METHODS
  Fourteen patients, 13 with primary lung carcinoma and one with primary unknown carcinoma, received radiation therapy for adrenal metastases from 1984 to 1995 at the Hyogo Medical Center for Adults. Total dose ranged from 16 Gy to 60 Gy, and fractional dose from 1.6 Gy/ Fr to 3 Gy/Fr.
  
  
  RESULTS
  Partial response of the local tumor was recognized in 2 of 7 patients by CT imaging. Pain relief was obtained in 7 of 8 patients. Median survival was 3 months, and 6-month survival was 28.6% in all patients. Among patients in the symptomatic group, who had complaints of pain due to adrenal mass, survival was even worse (12.5% at 6 months). There were no severe complications, but 4 patients (29%) had gastrointestinal symptoms.
  
  
  CONCLUSIONS
  Radiation therapy is useful for the purpose of pain relief in adrenal metastases.
authors.affiliation: Department of Radiology, Hyogo Medical Center for Adults.
authors.forename: T
authors.initials: T
authors.lastname: Soejima
authors.forename: S
authors.initials: S
authors.lastname: Hirota
authors.forename: Y
authors.initials: Y
authors.lastname: Hishikawa
authors.forename: A
authors.initials: A
authors.lastname: Hamanaka
authors.forename: Z
authors.initials: Z
authors.lastname: Ozawa
authors.forename: M
authors.initials: M
authors.lastname: Endo
authors.forename: Y
authors.initials: Y
authors.lastname: Kojima
authors.forename: K
authors.initials: K
authors.lastname: Kozuma
authors.forename: Y
authors.initials: Y
authors.lastname: Suzuki
authors.forename: K
authors.initials: K
authors.lastname: Obayashi
authors.forename: Y
authors.initials: Y
authors.lastname: Takada
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000401:mortality / Q000532:radiotherapy* / Q000556:secondary*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011879:Radiotherapy Dosage; D015996:Survival Rate