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Year : 2011  |  Volume : 7  |  Issue : 1  |  Page : 75-77

Adrenalectomy for isolated adrenal metastasis after Gamma Knife Surgery for an intracerebral metastasis of non-small-cell lung carcinoma

1 Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands
2 Department of Lung Disease, Rijnstate Hospital, Arnhem, The Netherlands

Correspondence Address:
D. J. P. van Uden
Department of Surgery, Alysis Zorggroep, location Rijnstate, Wagnerlaan 55, 6815 AD Arnhem
The Netherlands
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-1482.80472

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Only a limited group of patients with non-small-cell lung cancer (NSCLC) is eligible for treatment with a curative intent. Adrenalectomy for a solitary adrenal metastasis of NSCLC may be curative when combined with resection of the primary tumor. It is unclear whether resection of an isolated adrenal metastasis is justified in patients with a second metastasis. We report a case of successful adrenalectomy with adjuvant chemotherapy in a patient who was previously treated with a right lower lobe resection and subsequent Gamma Knife treatment of an intracranial metastasis. At 20-month follow-up, patient was in a good clinical condition without signs of recurrent disease. In selected cases, adrenalectomy with adjuvant chemotherapy for an adrenal metastasis of NSCLC may be performed successfully, with good short-term results, even after earlier treatment of a cerebral metastasis.

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