title: Metastatic adenocarcinoma within a functioning adrenal adenoma: a case report.
abstract: We present the case of a 54-year-old woman who underwent right adrenalectomy for palliation of Cushing's symptoms. She had recently been diagnosed with lung adenocarcinoma. Pathologic findings revealed a 5 cm adrenal adenoma with a metastatic adenocarcinoma deposit. The occurrence of tumor-to-tumor metastasis is rare, and the finding of a metastasis within a functional adrenal adenoma exceptionally so. Previously reported incidences of this finding in patients with lung cancer range from 0.14% to 0.63%. We review the literature regarding this unusual finding.
authors.affiliation: Department of Surgery, Hospital of St. Raphael 1450 Chapel Street, New Haven, CT 06511 USA. jerrymartin@eircom.net
authors.forename: Jeremiah T
authors.initials: JT
authors.lastname: Martin
authors.forename: Fuad
authors.initials: F
authors.lastname: Alkhoury
authors.forename: Scott
authors.initials: S
authors.lastname: Helton
authors.forename: Paul
authors.initials: P
authors.lastname: Fiedler
authors.forename: Olga
authors.initials: O
authors.lastname: Sakharova
authors.forename: Steven
authors.initials: S
authors.lastname: Yood