caa a22 4500 475753011 CHVBK 20180406123529.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s005950050063 doi (NATIONALLICENCE)springer-10.1007/s005950050063 Recurrence of giant adrenocortical carcinoma in the contralateral adrenal gland 6 years after surgery: Report of a case [Elektronische Daten] [Katsuyuki Kunieda, Shigetoyo Saji, Shigeru Mori, Motohisa Katoh, Kiichi Miya, Keigo Yasuda, Tomoatsu Mune, Kuniyasu Shimokawa] We report herein the case of a patient in whom a giant adrenocortical carcinoma was found to have recurred in the contralateral adrenal gland and intrapelvic cavity 6 years after his initial operation. A 52-year-old man had consulted our hospital complaining of right upper abdominal pain and weight loss, and was subsequently diagnosed as having a giant adrenal tumor by computed tomography scans and echography. A laparotomy was performed and the tumor, located in the right retroperitoneal cavity and infiltrating the liver and right kidney, was surgically removed. The lesion, 29 × 19 × 10cm in size and 4700 g in weight, was histopathologically diagnosed as an adrenocortical carcinoma. Adjuvant chemotherapy with mitotane was given for 3 months and his postoperative course was uneventful until a recurrence in the contralateral adrenal gland and peritoneal cavity was found 6 years later. The second resection was successful, and he is currently alive with no further sign of recurrence 8 years after his first operation. We report this unusual case as it provides much useful information on the biological features of adrenocortical carcinomas and the state of tumor dormancy. Springer-Verlag, 2000 adrenocortical carcinoma nationallicence adrenal cancer nationallicence survival time nationallicence giant adrenocortical carcinoma nationallicence contralateral adrenal gland nationallicence Kunieda Katsuyuki Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut Saji Shigetoyo Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut Mori Shigeru Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut Katoh Motohisa Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut Miya Kiichi Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut Yasuda Keigo Third Department of Medicine, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut Mune Tomoatsu Third Department of Medicine, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut Shimokawa Kuniyasu Department of Laboratory Medicine, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut Surgery Today Springer-Verlag 30/3(2000-03-01), 294-297 0941-1291 30:3<294 2000 30 595 https://doi.org/10.1007/s005950050063 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050063 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kunieda Katsuyuki Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut NATIONALLICENCE 700 1- Saji Shigetoyo Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut NATIONALLICENCE 700 1- Mori Shigeru Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut NATIONALLICENCE 700 1- Katoh Motohisa Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut NATIONALLICENCE 700 1- Miya Kiichi Second Department of Surgery, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut NATIONALLICENCE 700 1- Yasuda Keigo Third Department of Medicine, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut NATIONALLICENCE 700 1- Mune Tomoatsu Third Department of Medicine, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut NATIONALLICENCE 700 1- Shimokawa Kuniyasu Department of Laboratory Medicine, Gifu University School of Medicine, 40 Tsukasa-machi, 500-8705, Gifu, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/3(2000-03-01), 294-297 0941-1291 30:3<294 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer