Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis

Adrenal metastases often occur in patients with metastasized lung cancer, but symptoms rarely develop. A 45-year-old man presented with right abdominal pain requiring strong opioids due to large right adrenal metastasis of lung adenocarcinoma. The tumor was 7.3 × 5.6 × 8.4 cm in size. He was treated...

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Main Authors: Masashi Endo, Yukiko Fukuda, Kazunari Ogawa, Satoru Takahashi, Michiko Nakamura, Masahiro Kawahara, Keiko Akahane, Yoshitaka Yamanouchi, Koichi Hagiwara, Harushi Mori, Katsuyuki Shirai
Format: Article
Language:English
Published: Karger Publishers 2021-09-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/518778
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spelling doaj-d75ab70d8d3840cda5b800e05d674dd22021-09-30T08:12:30ZengKarger PublishersCase Reports in Oncology1662-65752021-09-011431266127010.1159/000518778518778Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal MetastasisMasashi Endo0Yukiko Fukuda1Kazunari Ogawa2Satoru Takahashi3Michiko Nakamura4Masahiro Kawahara5Keiko Akahane6Yoshitaka Yamanouchi7Koichi Hagiwara8Harushi Mori9Katsuyuki Shirai10Department of Radiology, Jichi Medical University Hospital, Shimotsuke, JapanDepartment of Radiology, Jichi Medical University Hospital, Shimotsuke, JapanDepartment of Radiology, Jichi Medical University Hospital, Shimotsuke, JapanDepartment of Radiology, Jichi Medical University Hospital, Shimotsuke, JapanDepartment of Radiology, Jichi Medical University Hospital, Shimotsuke, JapanDepartment of Radiology, Jichi Medical University Saitama Medical Center, Saitama, JapanDepartment of Radiology, Jichi Medical University Saitama Medical Center, Saitama, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Jichi Medical University Hospital, Shimotsuke, JapanDivision of Pulmonary Medicine, Department of Internal Medicine, Jichi Medical University Hospital, Shimotsuke, JapanDepartment of Radiology, Jichi Medical University Hospital, Shimotsuke, JapanDepartment of Radiology, Jichi Medical University Hospital, Shimotsuke, JapanAdrenal metastases often occur in patients with metastasized lung cancer, but symptoms rarely develop. A 45-year-old man presented with right abdominal pain requiring strong opioids due to large right adrenal metastasis of lung adenocarcinoma. The tumor was 7.3 × 5.6 × 8.4 cm in size. He was treated with palliative radiotherapy (RT) up to 39 Gy in 13 fractions for this lesion without severe adverse effects. After RT, he had good pain relief, and opioids were no longer needed. Palliative RT for a large adrenal tumor can provide a good analgesic effect without relevant toxicity.https://www.karger.com/Article/FullText/518778non-small cell lung carcinomaadrenal metastasisradiotherapy
collection DOAJ
language English
format Article
sources DOAJ
author Masashi Endo
Yukiko Fukuda
Kazunari Ogawa
Satoru Takahashi
Michiko Nakamura
Masahiro Kawahara
Keiko Akahane
Yoshitaka Yamanouchi
Koichi Hagiwara
Harushi Mori
Katsuyuki Shirai
spellingShingle Masashi Endo
Yukiko Fukuda
Kazunari Ogawa
Satoru Takahashi
Michiko Nakamura
Masahiro Kawahara
Keiko Akahane
Yoshitaka Yamanouchi
Koichi Hagiwara
Harushi Mori
Katsuyuki Shirai
Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis
Case Reports in Oncology
non-small cell lung carcinoma
adrenal metastasis
radiotherapy
author_facet Masashi Endo
Yukiko Fukuda
Kazunari Ogawa
Satoru Takahashi
Michiko Nakamura
Masahiro Kawahara
Keiko Akahane
Yoshitaka Yamanouchi
Koichi Hagiwara
Harushi Mori
Katsuyuki Shirai
author_sort Masashi Endo
title Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis
title_short Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis
title_full Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis
title_fullStr Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis
title_full_unstemmed Palliative Radiotherapy Provided Good Pain Relief for Painful Adrenal Metastasis
title_sort palliative radiotherapy provided good pain relief for painful adrenal metastasis
publisher Karger Publishers
series Case Reports in Oncology
issn 1662-6575
publishDate 2021-09-01
description Adrenal metastases often occur in patients with metastasized lung cancer, but symptoms rarely develop. A 45-year-old man presented with right abdominal pain requiring strong opioids due to large right adrenal metastasis of lung adenocarcinoma. The tumor was 7.3 × 5.6 × 8.4 cm in size. He was treated with palliative radiotherapy (RT) up to 39 Gy in 13 fractions for this lesion without severe adverse effects. After RT, he had good pain relief, and opioids were no longer needed. Palliative RT for a large adrenal tumor can provide a good analgesic effect without relevant toxicity.
topic non-small cell lung carcinoma
adrenal metastasis
radiotherapy
url https://www.karger.com/Article/FullText/518778
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AT kazunariogawa palliativeradiotherapyprovidedgoodpainreliefforpainfuladrenalmetastasis
AT satorutakahashi palliativeradiotherapyprovidedgoodpainreliefforpainfuladrenalmetastasis
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