Nalan BABACAN AKGÜN, Mehmet Metin ŞEKER, İlknur Koç OLÇAŞ, Turgut KAÇAN, Saadettin KILIÇKAP, Birsen YÜCEL, Gülşah GÜLTEKİN, Mehmet Fuat EREN, Ayfer EREN AY

Benign pheochromocytoma associated with colorectal cancer: Case report

Kolorektal kanser tüm kanserler arasında ölüme neden olan ikinci sıklıktaki kanserdir. Karaciğerve akciğer kolorektal kanserlerin ana metastaz yerleri iken adrenal metastaz klinik olarak nadirdir.Eskiden metastazlar otopsilerde saptanırken, görüntüleme ve tanısal tekniklerin gelişmesisayesinde rutin takiplerde fark edilebilir. Adrenal metastazı olan hastalar diffüz sistemik yayılımkabul edilir ve cerrahi rezeksiyona uygun değillerdir. Bu nedenle kolorektal kanserli hastalardaizole adrenal metastaz tedavide ikilem yaratmaktadır. Bu olguda hemikolektomi ve adrenalmetastazektomi uygulanan kolorektal kanserli hastada adrenal kitleyi rapor etmekteyiz. Adrenalkitle iyi huylu idi. Rezeksiyona uygun klinik soliter lezyonlar seçili hastalarda yapılabilir ve uzunsüreli sağkalım sağlar. Aynı zamanda doğru tanının konmasını sağlar.

Kolorektal kansere eşlik eden benign f eokromositoma: Olgu sunumu

Among all cancers, colorectal cancer is the second leading cause of cancer related death. Liver andlung are known as the main metastatic sites of colorectal cancer, on the other hand the metastasisof adrenal is clinically rare. Formerly, metastases were detected at autopsy, but due to improvedimaging and diagnostic techniques, many of these lesions now can be detected on routine follow- up imaging. Patients with adrenal metastasis are considered having systemic spread and thereforeunsuitable for surgical resection. That s why, isolated adrenal metastasis presents a therapeuticdilemma in colorectal cancer patients. In this case, we report an adrenal mass in a patient withcolorectal cancer to whom rectosigmoidectomy, colectomy and adrenal metastasectomy wereperformed. The adrenal mass was benign. For solitary and resectable lesions adrenalectomy can beperformed and prolonged survival can be achieved in selected patients. Also, this enables toachieve right histopathological diagnosis.

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