Adrenal metastasis from hepatocellular carcinoma--report of a case.
A 66-year-old man presented with an epigastric tumor demonstrated by both ultrasonography and computed tomography as hepatocellular carcinoma. He referred himself to a specialist at another hospital who performed transarterial embolization (TAE) of the hepatic artery. But the serum alpha fetoprotein (AFP) concentration gradually rose after the procedure. A right adrenal metastasis was discovered by computed tomography 9 months after his presentation, 8 months after first embolization. When TAE was performed for this metastasis, there was transverse palsy of the lower limb secondary to spinal artery embolization. He returned to our hospital where a right adrenectomy was performed 14 months after his first presentation. The operation was successful and he was discharged 6 weeks later. But he was readmitted in 8 months with an elevated serum AFP concentration and died within 2 weeks. The details of this case are presented, and the indications for resection of adrenal metastasis from hepatocellular carcinoma are discussed.
Department of Surgery, Kumiai General Hospital.
Y
Y
Kitagawa
T
T
Tajika
N
N
Kameoka
Y
Y
Kanda
T
T
Watanabe
A
A
Miura
T
T
Teramoto
O
O
Masai
T
T
Onuma
D000310:Adrenal Gland Neoplasms / Q000097:blood / Q000556:secondary* / Q000601:surgery; D000315:Adrenalectomy; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000097:blood / Q000556:secondary* / Q000628:therapy; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D006499:Hepatic Artery; D006801:Humans; D008113:Liver Neoplasms / Q000097:blood / Q000473:pathology* / Q000628:therapy; D008297:Male; D000509:alpha-Fetoproteins / Q000032:analysis
D000509:alpha-Fetoproteins