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Abstract

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Article in Japanese

Case Report

Adrenal hemorrhage resulting from bilateral adrenal metastasis of lung cancer: A case report

Yasuhiro Fujii  Kouhei Ohara  Kouichi Takagi  Minako Hamada  Kazuya Matukizono  Yumiko Tomiyama  Yoshifusa Koreeda  Masaharu Kawabata 

Department of Respiratory Medicine, Minami Kyushu National Hospital

ABSTRACT

A man in his 70s developed adenocarcinoma of the lung. At his initial visit, a CT revealed no enlargement of either adrenal gland; therefore adrenal metastasis was not suspected. However, the patient experienced a right adrenal hemorrhage, and a PET/CT revealed accumulation in both adrenal glands, which led to a diagnosis of bilateral adrenal metastasis of lung cancer. Adrenal hemorrhage as a result of lung cancer metastasis is rare, and only 11 cases have so far been reported. We examined a total of 12 such cases, including the present one. When patients suffering from lung cancer have abdominal/back pain and anemia of unknown origin, adrenal hemorrhage resulting from lung cancer metastasis should be considered. Moreover, PET/CT is useful for a diagnosis of adrenal metastasis of lung cancer.

KEYWORDS

Adrenal hemorrhage  Adrenal metastasis  Lung cancer  PET/CT 

Received 22 Nov 2012 / Accepted 14 Feb 2013

AJRS, 2(4): 442-445, 2013

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