title: [A Case of Long-Term Survival after Resection of Liver and Adrenal Metastases from Rectal Cancer].
abstract: A 72-year-old man underwent Miles' operation for rectal cancer. Histological findings showed moderately differentiated adenocarcinoma, a, ly0, v1, n0, stage Ⅱ(ly0, v1). Five months later, left lateral segmentectomy and left adrenalectomy were performed owing to the metastasis of the rectal cancer to the liver and adrenal glands. Two years after these operations, left nephrectomy was performed for retroperitoneal recurrence around the left kidney. All resected specimens showed metastatic adenocarcinoma derived from the rectal cancer. No recurrence has been detected in the 4 years since the left nephrectomy. Aggressive resection of well-controlled metastatic lesions including those in the adrenal glands is recommended.
authors.affiliation: Dept. of Surgery, Niigata Prefectural Tokamachi Hospital.
authors.forename: Chisato
authors.initials: C
authors.lastname: Okajima
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Fukunari
authors.forename: Yudai
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Tomotaka
authors.initials: T
authors.lastname: Kato
authors.forename: Keisuke
authors.initials: K
authors.lastname: Nakao
authors.forename: Kenji
authors.initials: K
authors.lastname: Shitara
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Hayashi
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Ajioka
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000556:secondary / Q000601:surgery*; D000315:Adrenalectomy; D000368:Aged; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D009392:Nephrectomy; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery; D012008:Recurrence; D013997:Time Factors; D016896:Treatment Outcome