title: Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report.
abstract: We present a 60-year old woman with recurrent cervical adenocarcinoma who presented with metastasis to both lungs and to her right adrenal gland. A thoracotomy was performed for resection of her pulmonary metastasis and then the right adrenal gland was excised through a trans-diaphragmatic approach. The adrenal gland resection was more complex due to involvement of the tumor with the inferior vena cava (IVC) which was repaired with a PTFE patch graft. This case demonstrates both an interesting approach to surgical resection of multiple metastases as well as a safe, although more challenging, alternative to partially resect and repair the IVC.
authors.affiliation: University of Minnesota, Minnesota, USA.
authors.forename: Robert B
authors.initials: RB
authors.lastname: Dorman
authors.affiliation: University of Minnesota, Minnesota, USA.
authors.forename: Nathaniel S
authors.initials: NS
authors.lastname: Kreykes
authors.affiliation: University of Minnesota, Minnesota, USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Maddaus
authors.affiliation: University of Minnesota, Minnesota, USA.
authors.forename: William D
authors.initials: WD
authors.lastname: Payne
authors.affiliation: University of Minnesota, Minnesota, USA.
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Judson
authors.affiliation: University of Minnesota, Minnesota, USA.
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Leslie
authors.affiliation: University of Minnesota, Minnesota, USA.
authors.forename: Sayeed
authors.initials: S
authors.lastname: Ikramuddin