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Case Reports in Urology
Volume 2013 (2013), Article ID 982787, 3 pages
http://dx.doi.org/10.1155/2013/982787
Case Report

Surgical Treatment of Adrenal Gland Metastasis Originating from Small Cell Carcinoma of the Urinary Bladder

1Division of Urology, Department of Surgery, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka Shimoaiduki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan
2Department of Urology, Fukui Social Insurance Hospital, Fukui 911-8558, Japan
3Division of Surgical Pathology, University of Fukui Hospital, Fukui 910-1193, Japan

Received 26 September 2013; Accepted 7 November 2013

Academic Editors: N. Ismaili and A. Marte

Copyright © 2013 Minekatsu Taga et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a rare case of a solitary adrenal metastasis from small cell carcinoma of the urinary bladder that was successfully treated with surgical resection. A 71-year-old man was suffering from bladder tamponade for hematuria. Computed tomography (CT) revealed a bladder tumor at the left wall. The patients underwent radical cystectomy. Histopathological results were obtained in small cell carcinoma of the bladder with muscle invasion. Thus, he received two courses of adjuvant etoposide and cisplatin chemotherapy, followed by the regimen for small cell lung cancer. Seven months after surgery, follow-up CT showed a gradually enlarged mass enhanced heterogeneously in the right adrenal gland. There was a solitary adrenal metastasis without any other metastasis; therefore, we performed right laparoscopic adrenalectomy. The patient has remained uneventful for four years after the adrenal gland surgery. For patients who have a solitary adrenal metastasis, adrenalectomy may provide a survival benefit.