title: Robotic adrenalectomy for sigmoid colon cancer oligometastasis.
abstract: Solitary adrenal metastasis from colorectal cancer is rare with reported incidence from 3.1% to 14.4% in the literature. Conventionally, adrenal metastasis is considered as indicative of widespread systemic disease and hence treated with palliative intent. Surgical resection remains controversial although a median survival of 32 months was found in the largest reported case series. It has been postulated that surgical resection should be offered when the adrenal metastasis develops more than 6 months after the treatment of the primary tumor. For the metastatic lesions and potentially malignant lesions, role of minimally invasive surgery is still considered controversial. We are presenting a case of metachronous, solitary adrenal metastasis from sigmoid colon carcinoma treated surgically with curative intent.
authors.affiliation: 1 Department of Surgical Oncology, 2 Department of Pathology, Tata Memorial Centre, Mumbai, Maharashtra, India ; 3 Department of Urooncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
authors.forename: Vishwas D
authors.initials: VD
authors.lastname: Pai
authors.affiliation: 1 Department of Surgical Oncology, 2 Department of Pathology, Tata Memorial Centre, Mumbai, Maharashtra, India ; 3 Department of Urooncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Bhandare
authors.affiliation: 1 Department of Surgical Oncology, 2 Department of Pathology, Tata Memorial Centre, Mumbai, Maharashtra, India ; 3 Department of Urooncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
authors.forename: Kedar
authors.initials: K
authors.lastname: Deodhar
authors.affiliation: 1 Department of Surgical Oncology, 2 Department of Pathology, Tata Memorial Centre, Mumbai, Maharashtra, India ; 3 Department of Urooncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
authors.forename: Thyavihally Boregowda
authors.initials: TB
authors.lastname: Yuvaraja
authors.affiliation: 1 Department of Surgical Oncology, 2 Department of Pathology, Tata Memorial Centre, Mumbai, Maharashtra, India ; 3 Department of Urooncology, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
authors.forename: Avanish P
authors.initials: AP
authors.lastname: Saklani
keywords: Sigmoid colon cancer; adrenalectomy; oligometastasis; robotic surgery