The reported case was a 58-year-old male. The primary focus, rectal cancer was revealed to be type 2 macroscopically at 4.5cm above the anal verge. For rectal cancer, abdominoperineal resection was performed. The pathological findings were well differentiated adenocarcinoma, a2, ly2, v1, and n0, and surgery was completely curative. Follow-up of the patient was performed at the outpatient department after surgery. Fourteen months later, CT showed an abnormal shadow at the right adrenal gland. There was no metastasis except in the right adrenal gland. Right side adrenectomy was performed. The histology of the resected adrenal gland was the same as that of rectal carcinoma. The patient survived for 2 years and 7 months after adrenectomy, and died of pulmonary metastasis.
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