Abstract
Long-term survival of patients who undergo surgical resection of isolated adrenal metastasis from non- small cell lung cancer (NSCLC) has been reported. In these patients, primary lung cancers were generally resected or resectable. We report a 50-year-old man of NSCLC (T3N2M1) with locally advanced lung adenocarcinoma and solitary ipsilateral adrenal metastasis, which was detected by FDG/PET (fluorodeoxyglucose/positron emis- sion tomography). After the thoracic lesions had been controlled with chemo-radiation therapy for 2 years, the remaining adrenal metastasis was surgically resected. He was disease-free for 7 years. Our case suggests that solitary adrenal metastasis may be resectable in NSCLC patients controlled by chemo-radiation therapy, and FDG/PET is useful to detect and follow adrenal metastasis.
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