An Adrenal Incidentaloma After Colon/Rectal Cancer Surgery: A Primer Lesion or Metastasis—A Case Report

Adalet Daş, İbrahim Ethem Cakcak, Derya Karabulut, Dicle Tamer Türk
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Abstract

The liver is the most common metastatic site of colorectal carcinoma. Adrenal metastasis is the second most common reason for “adrenal incidentaloma.” For malignant adrenal tumors, open adrenalectomy is the choice of operation. We present a 60-year-old man whose radiological evaluations revealed a metastatic lesion in the right adrenal gland, with a history of colorectal carcinoma. We conducted a literature analysis regarding the accuracy of imaging methods and laboratory tests. It is seen that radiological examinations and laboratory test results do not always comply with the postoperative results. Differential diagnosis and different diagnostic procedures should be considered.

Abstract Image

结肠/直肠癌手术后的肾上腺偶发瘤:原发病变或转移--病例报告
肝脏是结直肠癌最常见的转移部位。肾上腺转移是 "肾上腺偶发瘤 "的第二大常见原因。对于恶性肾上腺肿瘤,开腹肾上腺切除术是手术的首选。我们介绍了一名 60 岁的男性,他的放射学评估显示其右侧肾上腺有转移性病变,并有结肠直肠癌病史。我们对成像方法和实验室检查的准确性进行了文献分析。结果显示,放射检查和实验室检测结果并不总是与术后结果一致。应考虑鉴别诊断和不同的诊断程序。
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