title: Synchronous adrenal metastasis and an inferior vena cava tumor thrombus from an ovarian carcinoma.
abstract: A 60-year-old woman presented with synchronous adrenal metastasis and an inferior vena cava tumor thrombus in the adrenal vein that developed from an ovarian carcinoma. The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, and right adrenalectomy with caval tumor thrombectomy for treatment. Microscopic examination revealed a clear cell ovarian carcinoma and a metastatic adrenal tumor. The patient is clinically free of disease after 6 years of follow-up. There have been no reports of synchronous adrenal metastasis with an inferior vena cava thrombus that developed from an ovarian carcinoma. As several reports have described the long-term survival after adrenalectomy for the treatment of isolated adrenal metastasis, clinicians should be aware of this potential occurrence so that patients can be appropriately treated.
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan. tokue@s2.dion.ne.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tokue
authors.forename: Azusa
authors.initials: A
authors.lastname: Tokue
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Tsushima
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000556:secondary* / Q000601:surgery; D000315:Adrenalectomy; D001706:Biopsy; D002277:Carcinoma / Q000150:complications* / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D010052:Ovariectomy; D058994:Salpingectomy; D017131:Thrombectomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000601:surgery; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery