title: Laparoscopic Adrenalectomy for Ovarian Metastasis and Underlying Horse Shoe Kidney.
abstract: Adrenal metastasis from ovarian malignancy is extremely rare. Very few cases in literature have reported surgical removal of isolated adrenal metastasis in patients with ovarian carcinoma. Presence of horse shoe kidney can impose technical challenges in patients planned for laparoscopic adrenalectomy. A52 years female with high grade serous carcinoma ovary, horse shoe kidney and previous history of two laparotomies for primary malignancy developed adrenal metastasis 3 years after diagnosis of the primary lesion. She underwent laparoscopic left adrenalectomy in right lateral position. She was discharged on the second postoperative day. Laparoscopic adrenalectomy for ovarian metastasis in a patient with horse shoe kidney has not been reported before. Surgical resection of solitary adrenal metastasis offers survival benefit and laparoscopic resection should always be a treatment option in these patients.
authors.affiliation: Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore.
authors.forename: Abu Bakar
authors.initials: AB
authors.lastname: Hafeez Bhatti
authors.affiliation: Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore.
authors.forename: Rao Asif
authors.initials: RA
authors.lastname: Iqbal
authors.affiliation: Department of Surgical Oncology, Sindh Medical College, Karachi.
authors.forename: Anum
authors.initials: A
authors.lastname: Waheed
authors.affiliation: Department of Pathology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore.
authors.forename: Asif
authors.initials: A
authors.lastname: Loya
authors.affiliation: Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore.
authors.forename: Aamir Ali
authors.initials: AA
authors.lastname: Syed
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D000315:Adrenalectomy; D000970:Antineoplastic Agents; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009362:Neoplasm Metastasis; D010051:Ovarian Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D000970:Antineoplastic Agents