title: [Surgical treatment of solitary adrenal metastases in patients with lung cancer].
abstract: OBJECTIVE
  Lung cancer (LC) can metastasize the adrenal gland. The objective of this study is to describe our experience in patients undergoing surgery for solitary adrenal metastasis of lung cancer in the past 11 years.
  
  
  METHODS
  It is a retrospective study of patients who underwent the surgical resection of the lung primary tumor and the adrenal metastases.
  
  
  RESULTS
  We included 7 patients with a median age of 64 years. Five patients underwent lobectomy, and 2, pneumonectomy with adjuvant therapy according to protocol. The single adrenal metastasis appeared synchronously in 3 patients and metachronously in 4, between 10 and 39 months (median 25 months). Two patients are alive and with good quality of life. The mean survival of patients was 41 months (95% confidence interval [95% CI] 7-74) and median survival was 20 months (95% CI 7-32).
  
  
  CONCLUSIONS
  We conclude that surgery adrenal metastases from lung cancer increases life expectancy in selected patients according to the available literature.
authors: Servicio de Cirugía Torácica, Hospital Clínic, Barcelona, España. cizquierdovidal@hotmail.com
authors: Cristina
authors: C
authors: Izquierdo-Vidal
authors: Laureano
authors: L
authors: Molins
authors: Marc
authors: M
authors: Boada
authors: Esther
authors: E
authors: Cladellas
authors: Abel
authors: A
authors: Gómez-Caro
authors: Josep Maria
authors: JM
authors: Gimferrer
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D000368:Aged; D018288:Carcinoma, Small Cell / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008175:Lung Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods; D011788:Quality of Life; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome