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Research Article Open access CC BY 4.0

The Adrenal Gland as a Rare Metastatic Site of Oesophageal Carcinoma: A Case Report

Ashish Wadekar, Sunil Kumar Mallick, Rimlee Dutta, Naveen Gupta

Asian Journal of Case Reports in Medicine and Health · pp. 357–362 · Published 14 Oct 2025

10.9734/ajcrmh/2025/v8i1268

Abstract

Background: Oesophageal squamous cell carcinoma (OSCC) frequently metastasizes to lymph nodes, liver, lung, bone and brain; adrenal involvement is rare and is detected incidentally or during autopsy. Case Summary: Herein, we report a case of a 42-year-old male diagnosed with moderately differentiated OSCC. On imaging, distal oesophageal lesion with a left adrenal nodule was seen. Following neoadjuvant chemoradiotherapy, the patient underwent Ivor Lewis esophagectomy with left adrenalectomy. Histopathology confirmed adrenal metastasis from OSCC. The final stage was ypT3 ypN0 ypM1 (Stage IVB). Conclusion: The present case highlights the importance of thorough metastatic workup in oesophageal cancer, as adrenal lesions may be the first or only sign of distant spread. Histopathological confirmation is crucial for guiding appropriate surgical and therapeutic decisions.

Oesophageal carcinoma Adrenal gland metastasis carcinoma squamous cell carcinoma

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