Abstract
A 60-year-old woman complained of constipation. Contrast enema and colonoscopy indicated a sigmoid colon tumor (type2). On pathology, a well differentiated adenocarcinoma was diagnosed. Abdominal CT scans and MRI revealed liver and adrenal tumors. She was diagnosed as having sigmoid colon cancer with synchronous liver and adrenal metastases. Sigmoidectomy, posterior segmentectomy, and right adrenalectomy were performed. The operative findings included pSE, pN2, sH1, sM1 (adrenal gland) fStage IV. The histological diagnosis of the sigmoid colon, liver, and adrenal tumors was that of a well differentiated adenocarcinoma. There have been no signs of recurrence for 6 years since the operation ; the patient was not given chemotherapy. The resection of an adrenal metastasis in patients with colon and rectal carcinoma is a rare event. It is possible that the resection of the primary and metastatic lesion contributes to an improved prognosis.
