Evidence map›Paper›PMID 37038153›Full record

ArticleJournal of medical case reports2023

Adrenal insufficiency after curative-intent gastric cancer treatment: a case report.

Johan Hardvik Åkerström, Cecilia Radkiewicz

Abstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Johan Hardvik ÅkerströmUpper Gastrointestinal Cancer Unit, Karolinska University Hospital, Stockholm, Sweden.
Cecilia RadkiewiczUpper Gastrointestinal Cancer Unit, Karolinska University Hospital, Stockholm, Sweden. cecilia.radkiewicz@ki.se.ORCID http://orcid.org/0000-0003-0683-1537

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdrenal insufficiency is a life-threatening condition, and advanced gastric cancer is associated with very poor prognosis. Adrenalectomy and/or metastatic invasion of the adrenal glands can cause primary adrenal insufficiency, which in turn can present with symptoms mimicking advanced cancer. CASE PRESENTATION: Herein we report of a 68-year-old White male with a history of left adrenalectomy in conjunction with distal gastrectomy due to gastric adenocarcinoma. At the 2-year follow-up visit after cancer surgery, the patient presented with fatigue, unintentional weight loss, hyperkalemia, and a computed tomography scan with a right adrenal mass. Primary adrenal insufficiency caused by gastric cancer metastatic invasion of the remaining right adrenal gland was established and glucocorticoid therapy initiated. The patient received first line palliative chemotherapy with systemic disease control and subsequent stereotactic body radiotherapy to the right adrenal gland. More than 17 months after pathology-confirmed gastric cancer relapse, there is no clinical nor radiological evidence of active malignant disease and the patient is doing well on glucocorticoid replacement therapy.

conclusionsThis case does not only illustrate the importance of prompt and correct clinical management of adrenal insufficiency, but also that selected patients with advanced gastric cancer can gain from and achieve long-term survival using a multimodal treatment approach.

Indexed as

Addison DiseaseAdrenal Gland NeoplasmsAdrenal InsufficiencyStomach NeoplasmsAdrenalectomyAgedGlucocorticoidsHumansMaleNeoplasm Recurrence, LocalGlucocorticoidsAdrenal insufficiencyCase reportChemotherapyRadiosurgeryStomach neoplasms

Identifiers

PMID37038153
PMCPMC10088220

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