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Vol.52 No.4 contents | Japanese/English |
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- Case Report -
A Resected Case of Adrenocortical Carcinoma Metastatic to the Lung
Taketo Kato1, Kikuo Shigemitsu11Department of Chest Surgery, Ogaki Municipal Hospital, Japan
Background. Adrenocortical carcinoma is a rare neoplasm, and the lung is the most common site of its metastasis. Case. A 63-year-old man, who had received surgical resection for the left adrenocortical carcinoma 16 months previously, was found to have a nodular shadow in the left upper lobe on computed tomography (CT) while undergoing examinations for another disease. As a CT-guided transbronchial lung biopsy (TBLB) failed to establish the diagnosis, the lesion was removed by wedge resection for the sake of therapeutic diagnosis. Pathological examination revealed it to be a pulmonary metastasis of the adrenocortical carcinoma. The patient is alive without recurrence after 4.5 years of follow up. Conclusion. Adrenocortical carcinoma metastasizes to the lung frequently, and the prognosis of such cases is generally poor. There is some possibility that surgical resection is beneficial for adrenocortical carcinoma metastatic to the lung.
key words: Adrenocortical carcinoma, Metastatic lung tumor
Received: January 18, 2012
Accepted: June 19, 2012
JJLC 52 (4): 409-413, 2012
