“…In addition, patients with esophageal cancer rarely have isolated metastases to the adrenal gland, which limits the utility of adrenalectomy in these patients. Two patients have been reported to undergo resection of synchronous metastases to the adrenal gland at the time of esophagectomy [ [7] , [8] ]. To date, we identified reports of five patients who underwent resection of metachronous metastases to the adrenal gland from carcinoma of the esophagus [ [9] , [10] , [11] , [12] , [13] ].…”