title: Bilateral adrenal metastases from a primary hepatocellular carcinoma.
abstract: Metastatic tumors to the adrenal gland are more common than primary adrenal carcinoma. However, bilateral adrenal metastases as the first manifestation of an occult or small hepatocellular carcinoma (HCC) are very rare. An elderly male presented with transient edema of lower limbs with findings of bilateral adrenal masses and a small liver lesion on CT scan. In spite of thorough biochemical and imaging investigative modalities the final diagnosis of metastatic carcinoma could be reached only after a needle core biopsy of the lesions.
authors.affiliation: Department of Urology, All India Institute of Medical Sciences, New Delhi 110 029, India.
authors.forename: Om Prakash
authors.initials: OP
authors.lastname: Mundada
authors.forename: Monish
authors.initials: M
authors.lastname: Aron
authors.forename: B
authors.initials: B
authors.lastname: Sivaramakrishna
authors.forename: Narmada P
authors.initials: NP
authors.lastname: Gupta
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000556:secondary*; D000368:Aged; D001707:Biopsy, Needle; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary*; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D007194:India; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology*; D008297:Male; D009367:Neoplasm Staging; D014057:Tomography, X-Ray Computed