This 71 y/o male was referred to CT for evaluation of abdominal pain. He was in excellent health. His past medical history was unremarkable except for removal of a colon polyp more than 10 years prior to this exam. Selected images from his CT shown above demonstrate a right adrenal mass with some punctate calcifications. CT guided biopsy was consistent with a colorectal carcinoma metastasis. Additional evaluation did not reveal a primary source. This is presumed to be a late metastasis from the prior polyp although the prior pathology was not available for review.

  1. Horton KM, Abrams RA, Fishman EK. Spiral CT of colon cancer: imaging features and role in management. Radiographics 2000 Mar-Apr;20(2):419-30 PMID:10715340
  2. Watatani M, Ooshima M, Wada T, Terashita H, Matsuda T, Shindo K, Yasutomi M. Adrenal metastasis from carcinoma of the colon and rectum: a report of three cases. Surg Today 1993;23(5):444-8 PMID:8324338
  3. Kim SH, Brennan MF, Russo P, Burt ME, Coit DG. The role of surgery in the treatment of clinically isolated adrenal metastasis. Cancer 1998 Jan 15;82(2):389-94 PMID:9445197
  4. Short S, Chaturvedi A, Leslie MD. Palliation of symptomatic adrenal gland metastases by radiotherapy. Clin Oncol (R Coll Radiol) 1996;8(6):387-9 PMID:8973857
  5. Fujita K, Kameyama S, Kawamura M. Surgically removed adrenal metastasis from cancer of the rectum. Report of a case. Dis Colon Rectum 1988 Feb;31(2):141-3 PMID:3338346
  6. Omoigui NA, Cave WT Jr, Chang AY. Adrenal insufficiency. A rare initial sign of metastatic colon carcinoma. J Clin Gastroenterol 1987 Aug;9(4):470-4 PMID:3309024
  7. Katz RL, Shirkhoda A. Diagnostic approach to incidental adrenal nodules in the cancer patient. Results of a clinical, radiologic, and fine-needle aspiration study. Cancer 1985 May 1;55(9):1995-2000 PMID:3978579
  8. Cedermark BJ, Blumenson LE, Pickren JW, Holyoke DE, Elias EG. Ths significance of metastases to the adrenal glands in adenocarcinoma of the colon and rectum. Surg Gynecol Obstet 1977 Apr;144(4):537-46 PMID:847609
  9. Viadana E, Au K-L. Patterns of metastases in adenocarcinomas of man. An autopsy study of 4,728 cases. J Med 1975;6(1):1-14 PMID:1056412
  10. Reinig JW, Doppman JL, Dwyer AJ, Johnson AR, Knop RH. Distinction between adrenal adenomas and metastases using MR imaging. J Comput Assist Tomogr 1985 Sep-Oct;9(5):898-901 PMID:4031166
  11. Heniford BT, Arca MJ, Walsh RM, Gill IS. Laparoscopic adrenalectomy for cancer. Semin Surg Oncol 1999 Jun;16(4):293-306 PMID:10332775
  12. Katayama A, Mafune K, Makuuchi M. Adrenalectomy for solitary adrenal metastasis from colorectal carcinoma. Jpn J Clin Oncol 2000 Sep;30(9):414-6 PMID:11095141
  13. Crisci A, Cartei G, De Antoni P, Giannarini G, Moro U, Selli C. Surgical management of isolated bilateral adrenal metastases from colon carcinoma causing adrenal insufficiency. Urol Int 2001;67(1):113-6 PMID:11464135
  14. Yun M, Kim W, Alnafisi N, Lacorte L, Jang S, Alavi A. 18F-FDG PET in characterizing adrenal lesions detected on CT or MRI. J Nucl Med 2001 Dec;42(12):1795-9 PMID:11752075

Use the Back or Backward button on your browser to return