LONG-TERM SURVIVAL AFTER BILATERAL ADRENALECTOMY FOR METASTATIC LUNG-CANCER - A CASE-REPORT

Selected patients with solitary metastases from non-small cell lung ca ncer can benefit from an aggressive treatment approach that includes r esection of the metastases. This approach has been used for solitary a drenal metastases, but successful long-term treatment of bilateral adr enal metastases has not been preciously reported. This is the report o f a patient with bilateral adrenal metastases from lung cancer who is disease-free 9 years after bilateral adrenalectomy and chemotherapy. F rom this evidence, one may hypothesize that adrenal metastases are occ asionally lymphatic in origin and that metastases with this route of s pread are more amenable to aggressive curative treatment than adrenal metastases of hematogenous origin.