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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Main Authors: Robert B. Dorman, Sayeed Ikramuddin, Michael A. Maddaus, Nathaniel S. Kreykes, William D. Payne, Patricia L. Judson, Daniel B. Leslie
Format: Article
Language:English
Published: Oxford University Press 2010-11-01
Series:Journal of Surgical Case Reports
Subjects:
Online Access:http://jscr.co.uk/2010/11/cardiothoracic-surgery/transdiaphragmatic-adrenalectomy-for-metastatic-cervical-adenocarcinoma-a-technical-case-report/
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author Robert B. Dorman
Sayeed Ikramuddin
Michael A. Maddaus
Nathaniel S. Kreykes
William D. Payne
Patricia L. Judson
Daniel B. Leslie
author_facet Robert B. Dorman
Sayeed Ikramuddin
Michael A. Maddaus
Nathaniel S. Kreykes
William D. Payne
Patricia L. Judson
Daniel B. Leslie
author_sort Robert B. Dorman
collection DOAJ
description 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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spelling doaj.art-061362a2e36f4260b7b959a6c74d360b2022-12-21T18:55:25ZengOxford University PressJournal of Surgical Case Reports2042-88122010-11-01910Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case reportRobert B. DormanSayeed IkramuddinMichael A. MaddausNathaniel S. KreykesWilliam D. PaynePatricia L. JudsonDaniel B. LeslieWe 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.http://jscr.co.uk/2010/11/cardiothoracic-surgery/transdiaphragmatic-adrenalectomy-for-metastatic-cervical-adenocarcinoma-a-technical-case-report/adenocarcinomametastasisadrenaltransdiaphragmatic
spellingShingle Robert B. Dorman
Sayeed Ikramuddin
Michael A. Maddaus
Nathaniel S. Kreykes
William D. Payne
Patricia L. Judson
Daniel B. Leslie
Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report
Journal of Surgical Case Reports
adenocarcinoma
metastasis
adrenal
transdiaphragmatic
title Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report
title_full Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report
title_fullStr Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report
title_full_unstemmed Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report
title_short Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report
title_sort transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma a technical case report
topic adenocarcinoma
metastasis
adrenal
transdiaphragmatic
url http://jscr.co.uk/2010/11/cardiothoracic-surgery/transdiaphragmatic-adrenalectomy-for-metastatic-cervical-adenocarcinoma-a-technical-case-report/
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