Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report

Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report

We present a 60-year old woman with recurrent cervical adenocarcinoma who presented with metastasis to both lungs and to her right adrenal gland. A thoracotomy was performed for resection of her pulmonary metastasis and then the right adrenal gland was excised through a trans-diaphragmatic approach....

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Bibliographic Details
Main Authors: Dorman, Robert B., Kreykes, Nathaniel S., Maddaus, Michael A., Payne, William D., Judson, Patricia L., Leslie, Daniel B., Ikramuddin, Sayeed
Format: Online
Language:English
Published: JSCR Publishing Ltd 2010
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649170/
Description
Summary:We present a 60-year old woman with recurrent cervical adenocarcinoma who presented with metastasis to both lungs and to her right adrenal gland. A thoracotomy was performed for resection of her pulmonary metastasis and then the right adrenal gland was excised through a trans-diaphragmatic approach. The adrenal gland resection was more complex due to involvement of the tumor with the inferior vena cava (IVC) which was repaired with a PTFE patch graft. This case demonstrates both an interesting approach to surgical resection of multiple metastases as well as a safe, although more challenging, alternative to partially resect and repair the IVC.

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