Abstract

RAMIREZ PLAZA, César P. et al. Carcinoma suprarrenal: supervivenvia a 7 años libre de enfermedades tras resección completa del tumor primario y resecciones repetidas de recidivas locorregional y a distancia: Revisión a raíz de un caso con una pobre esperanza de vida inicial. Arch. Esp. Urol. [online]. 2005, vol.58, n.2, pp.115-119. ISSN 0004-0614.

OBJECTIVES: We report the case of a female patient with adrenal carcinoma who had undergone surgery and presented with local-regional and distant recurrences, emphasizing the importance of the aggressive surgical treatment to achieve long-term survival which is unexpected sometimes. Currently, it represents the gold standard and all cases should be reported to stimulate other groups to work in this line. METHODS/RESULTS: We report the case of a 29-yearold female patient who consulted for left flank pain, being diagnosed of an adrenal tumor by radiological tests; she underwent surgical excision of a left adrenal carcinoma (stage II). Later on she presented with localregional recurrences (2 times) and distant metastases (liver) undergoing excision in three procedures. Currently, the patient is alive and free of disease 7 years after diagnosis. CONCLUSIONS: Adrenal cancer recurrences have been considered lethal in the short-term. Nevertheless, an aggressive surgical approach of local recurrences and metastasic disease may significantly prolong patient’s survival and, sometimes, leave the patient disease free several years after the diagnosis of the primary tumor.

Keywords : Adrenal carcinoma; Survival; Aggressive surgery; Recurrent disease; Metastasis.

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