title: Metachronous pulmonary and adrenal metastases after liver transplantation for hepatocarcinoma.
abstract: BACKGROUND
  The worldwide experience of surgical resection for isolated metastasis following liver transplantation (LT) for hepatocellular carcinoma (HCC) is limited.
  
  
  METHODS
  The case of a 60-year-old patient performed successful surgical management for metachronous pulmonary and adrenal metastases from HCC after LT.
  
  
  RESULTS
  Eighty months after LT, he was presently alive and disease-free with a normal AFP value.
  
  
  CONCLUSIONS
  The case is an interesting report on a somehow indolent metastatic spread of HCC after LT. It should be considered that metachronous metastatic resectable disease, with no data of recurrence at the primary site in an operable patient, is an indication to perform a surgical resection.
authors: Department of Urology, First Affiliated Hospital, Medical College of Zhejiang University, 79 Qingchun Road, Hangzhou, Zhejiang, P.R. China. csw123@sohu.com
authors: Shan-Wen
authors: SW
authors: Chen
authors: Shuo
authors: S
authors: Wang
authors: Bo
authors: B
authors: Wang
authors: Wei-Dong
authors: WD
authors: Li
authors: Sheng
authors: S
authors: Yan
authors: Li-Ping
authors: LP
authors: Xie
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000556:secondary*; D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D016031:Liver Transplantation; D008175:Lung Neoplasms / Q000473:pathology / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000473:pathology*; D000509:alpha-Fetoproteins / Q000032:analysis
chemical_list: D000509:alpha-Fetoproteins