title: Surgical treatment of adrenal gland metastasis originating from small cell carcinoma of the urinary bladder.
abstract: We report a rare case of a solitary adrenal metastasis from small cell carcinoma of the urinary bladder that was successfully treated with surgical resection. A 71-year-old man was suffering from bladder tamponade for hematuria. Computed tomography (CT) revealed a bladder tumor at the left wall. The patients underwent radical cystectomy. Histopathological results were obtained in small cell carcinoma of the bladder with muscle invasion. Thus, he received two courses of adjuvant etoposide and cisplatin chemotherapy, followed by the regimen for small cell lung cancer. Seven months after surgery, follow-up CT showed a gradually enlarged mass enhanced heterogeneously in the right adrenal gland. There was a solitary adrenal metastasis without any other metastasis; therefore, we performed right laparoscopic adrenalectomy. The patient has remained uneventful for four years after the adrenal gland surgery. For patients who have a solitary adrenal metastasis, adrenalectomy may provide a survival benefit.
authors.affiliation: Division of Urology, Department of Surgery, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka Shimoaiduki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.
authors.forename: Minekatsu
authors.initials: M
authors.lastname: Taga
authors.affiliation: Division of Urology, Department of Surgery, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka Shimoaiduki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Ito
authors.affiliation: Department of Urology, Fukui Social Insurance Hospital, Fukui 911-8558, Japan.
authors.forename: Naoya
authors.initials: N
authors.lastname: Kusukawa
authors.affiliation: Division of Urology, Department of Surgery, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka Shimoaiduki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.
authors.forename: Yoshiji
authors.initials: Y
authors.lastname: Miwa
authors.affiliation: Division of Urology, Department of Surgery, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka Shimoaiduki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.
authors.forename: Hironobu
authors.initials: H
authors.lastname: Akino
authors.affiliation: Division of Surgical Pathology, University of Fukui Hospital, Fukui 910-1193, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Imamura
authors.affiliation: Division of Urology, Department of Surgery, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka Shimoaiduki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Yokoyama