PALLIATIVE CARE IN ADRENAL METASTASIS WITH SECONDARY PLEURAL EFFUSION – A CASE REPORT
Keywords:Adrenal Metastasis, Pleural Effusion, Rehabilitation, Palliative care
Background and Objective: The bilateral symmetrical adrenal gland is located above the kidneys' retroperitoneal cranial poles. It makes two kinds of hormones: steroids and catecholamines. The action of these hormones on the adrenal gland regulates metabolic, cardiovascular, immune, neuronal, and mental processes in response to exogenous stress and other stimulants. Adrenal metastasis is the most common malignant adrenal lesion and the second most common tumor in the adrenal gland after benign adenomas. Autopsies are the primary source of information for these metastases.
Methodology: A large number of research papers, articles, books, and other materials were used to review the literature on physiotherapeutic management of adrenal metastasis with pleural effusion.
Aim: We aim to improve Quality of Life and decrease the above symptoms as well as reduce the recurrence of the secondary pleural effusion.
Conclusion: On observation, the above treatment protocol showed marked improvement in the Quality of Life, reduced breathlessness, pain and fatigue.
Sun N, Wu Y, Nanba K, Sbiera S, Kircher S, Kunzke T, Aichler M, Berezowska S, Reibetanz J, Rainey WE, Fassnacht M. High-resolution tissue mass spectrometry imaging reveals a refined functional anatomy of the human adult adrenal gland. Endocrinology. 2018 Mar;159(3):1511-24.
Cingam SR, Mukkamalla SK, Karanchi H. Adrenal Metastasis.
Henson LA, Maddocks M, Evans C, Davidson M, Hicks S, Higginson IJ. Palliative care and the management of common distressing symptoms in advanced cancer: Pain, breathlessness, nausea and vomiting, and fatigue. Journal of Clinical Oncology. 2020 Mar 20;38(9):905.
Crombeen AM, Lilly EJ. Management of dyspnea in palliative care. Current Oncology. 2020 Jun;27(3):142.
Kasven-Gonzalez N, Souverain R, Miale S. Improving quality of life through rehabilitation in palliative care: case report. Palliative & supportive care. 2010 Sep 1;8(3):359.