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각종 암에서의 부신전이는 빈번하다고 알려져 있으나 직장 결장암에서의 부신전이는 드문 것으로 알려져 있고, 또한 부신전이의 의미 및 어떻게 할 것인가에 대해 논란이 많았다. 그러나 최근, 외국의 증례 보고에서 부신 절제를 통해 생존기간의 연장을 보았다고 주장하고 있다.


A 68 year-old woman visited our hospital because of constipation and hematochezia. Colonoscopy revealed an invasive fungating mass with a narrowing of lumen and severe ulceration at the sigmoid colon. An abdominal/pelvic CT scan showed an irregular wall thickening with a 10cm long narrowing at the sigmoid colon, and a 2 cm long right adrenal mass. We did an anterior resection and adrenalectomy. The histology of the specimens of the resected sigmoid colon and adrenal gland was the same. Finally, we diagnosed this case as being an adrenal metastasis from an advanced sigmoid colon cancer. The patient has been well for a year since the adrenalectomy, and been treated by the oral chemotherapeutic agent: doxifluridine 600 mg, leucovorin 90 mg.(Korean J Med 63:692-695, 2002)