An Adrenal Mass After Colorectal Carcinoma, Is It a Primer Lesion, a Metastasis or Nothing? A Case Report

Abstract

INTRODUCTION: Liver is the most frequent metastatic site of colorectal carcinoma. Adrenal metastasis is the second most common reason of “adrenal incidentaloma”. The presence of solitaire adrenal metastasis from colorectal carcinoma (CRC) is unusual but adrenal metastasis from CRC is not an uncommon event. CASE PRESENTATION: We present 60-year-old man who has a history of colorectal cancer with a suspicion of solitary adrenal metastasis from colorectal carcinoma. The patient underwent open adrenalectomy after radiological examinations’ and laboratory tests’ compatible results. Histopathological examination showed inflammatory cells with hemorrhage and necrosis. CONCLUSION: We made a literature analysis regarding the accuracy of imaging evaluations and laboratory tests. It is seen that radiological examinations and laboratory test results do not always comply with the post-op results. Differential diagnosis and different diagnostic procedures should be considered.