Akademik Veri Yönetim Sistemi
JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.4, sa.2, ss.140-142, 2013 (ESCI)
Aim: Of the cases with stage IV non-small celled lung cancer, only selected few with solitary brain and surrenal metastases are considered for surgical treatment. Surrenal resection has extended the survival in cases with resectable lung cancer. Material and Method: Six patients with prediagnosis of resectable non-small celled lung cancer and solitary surrenal metastasis at the same side were operated in our clinic. In the evaluations with 18F-fluorodeoxyglucose positron emission tomography, the surrenal tissues of the same side were involved in all the patients. The pathological involvement rate of the surrenal tissues was 3.71-20.50. Results: Four patients underwent pneumonectomy and two patients, upper lobectomy. Pathology evaluation of the patients who were performed transdiaphragmatic surrenalectomy indicated tumor involvement of the surrenal tissue in one patient, adrenocortical adenoma in one patient, surrenal tissue hyperplasia in two patients. One of the two patients who received chemotherapy preoperatively had no tumor invasion in the surrenal tissue or the lungs, while the other patient had no tumor invasion in the surrenal tissue only. Discussion: In cases with resectable NSCLC and isolated surrenal lesion on the same side, lung cancer surgery and transdiaphragmatic surrenal resection can be performed safely in one operation.