A 60-year-old man underwent anterior resection for advanced rectal carcinom
a. Seven years and 2 months later, right lower pneumonectomy was performed
for a metastatic lung tumor. Two years and 2 months thereafter, left adrena
lectomy was performed for solitary adrenal metastasis. The patient remained
disease-free for 10 months postoperatively, until multiple lung metastases
appeared. The patient is alive and well, under mild chemotherapy with oral
doxifluridine, 3 years and 5 months after left adrenalectomy. We conclude
that patients with solitary adrenal metastasis may benefit from surgical re
section and that resection could be considered as a therapy for solitary ad
renal metastasis from colorectal carcinoma.