{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:40:15Z","timestamp":1756305615940,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,3,4]]},"abstract":"<jats:p>Metastatic melanoma to adrenal gland are very infrequent, being generally associated with additional evidence of systemic disease and, consequently, with short-term survival. However, the prognosis and the therapeutic management vary depending on some important oncological features. Long-term survival rates have been described after complete resection of metastatic disease. Here, we report the case of a woman aged 41 years diagnosed with a cutaneous melanoma on the right side of her paravertebral region, level III of Clark, in 2002, who underwent surgical excision of the tumour with negative margins and a negative sentinel node. She posteriorly developed pulmonary metastasis in 2006 and 2009, both resected with curative intention and in 2013, she was diagnosed with an adrenal metastasis. Therefore, she was submitted to an uneventful right laparoscopic adrenalectomy. The pathology report described metastasis of a cutaneous melanoma, negative for BRAF mutation. The patient is actually disease-free after 30\u2005months of follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2016-218681","type":"journal-article","created":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T01:35:08Z","timestamp":1495503308000},"page":"bcr2016218681","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Surgery in late melanoma adrenal metastasis"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6510-7210","authenticated-orcid":false,"given":"Marcello","family":"Di Martino","sequence":"first","affiliation":[{"name":"Department of General and Digestive Surgery, Hospital Universitario de la Princesa, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I\u00f1igo","family":"Garc\u00eda Sanz","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Hospital Universitario de la Princesa, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismael","family":"Mora-Guzm\u00e1n","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Hospital Universitario de la Princesa, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngela","family":"de la Hoz Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Hospital Universitario de la Princesa, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,5,22]]},"reference":[{"key":"2025082707022633000_2017.may22_1.bcr2016218681.1","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0b013e31824bc981"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.12.018"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.3","first-page":"193","article-title":"Metastatic patterns in autopsy cases of cutaneous melanoma","volume":"8","author":"Akslen","year":"1988","journal-title":"Invasion Metastasis"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.4","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1007\/s00464-013-3274-z","article-title":"Laparoscopic adrenal metastasectomy: appropriate, safe, and feasible","volume":"28","author":"Chen","year":"2014","journal-title":"Surg Endosc"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.5","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1007\/s00268-014-2454-x","article-title":"Adrenal metastectomy is safe in selected patients","volume":"38","author":"Romero Arenas","year":"2014","journal-title":"World J Surg"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.6","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-9836-y"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.7","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.ejso.2008.04.011","article-title":"Surgery for melanoma metastases of the gastrointestinal tract: indications and results","volume":"35","author":"Sanki","year":"2009","journal-title":"Eur J Surg Oncol"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.8","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1177\/000313481508101019","article-title":"Adrenalectomy for metastatic melanoma: current role in the age of nonsurgical treatments","volume":"81","author":"Flaherty","year":"2015","journal-title":"Am Surg"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.9","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s00423-011-0889-1","article-title":"Surgical management of adrenal metastases","volume":"397","author":"Sancho","year":"2012","journal-title":"Langenbecks Arch Surg"},{"key":"2025082707022633000_2017.may22_1.bcr2016218681.10","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1002\/jso.21293","article-title":"Should we use laparoscopic adrenalectomy for metastases? Scandinavian multicenter study","volume":"100","author":"Marangos","year":"2009","journal-title":"J Surg Oncol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218681","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:02:35Z","timestamp":1756303355000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218681"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,22]]},"references-count":10,"alternative-id":["10.1136\/bcr-2016-218681"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218681","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,5,22]]}}}