title: A long surviving case of resected gastric cancer presenting with a synchronous adrenal metastasis.
abstract: Clinically curable adrenal metastases are rare. We treated a patient with gastric cancer and a synchronous adrenal metastasis who underwent curative resection. Upper GI examinations of a 75-year-old man revealed a Borrmann 3 gastric tumor in the proximal stomach. CT indicated a giant gastric tumor that invaded the pancreatic tail, and the left adrenal gland seemed normal. He was subjected to a total gastrectomy and a distal pancreatosplenectomy. Because a mass was palpated intraoperatively in the left adrenal gland, it was also removed. The gastric tumor was histopathologically a poorly differentiated adenocarcinoma with scirrhous invasion that invaded the pancreas, and the histopathological findings of the left adrenal tumor were compatible with those of gastric cancer. At present, 6 years after the operation, there has been no clear sign of cancer recurrence. It may be rational to excise the left adrenal gland en bloc in patients with serosa-positive Borrmann 3-4 gastric cancer.
authors.affiliation: Department of Surgery II, Kanazawa Medical University, 1-1, Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa 920-0293, Japan.
authors.forename: Takeo
authors.initials: T
authors.lastname: Kosaka
authors.forename: Nobuo
authors.initials: N
authors.lastname: Ueshige
authors.forename: Jun-ichi
authors.lastname: Sugaya Ji
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Nakano
authors.forename: Fujio
authors.initials: F
authors.lastname: Tomita
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Saito
authors.forename: Ichiro
authors.initials: I
authors.lastname: Kita
authors.forename: Shigeki
authors.initials: S
authors.lastname: Takashima