title: Radiologically occult hepatocellular carcinoma in a cirrhotic liver presenting with bilateral adrenal metastases.
abstract: Although it is common to have extra-hepatic metastasis of hepatocellular carcinoma (HCC) at the time of presentation, it is extremely rare to have extra-hepatic metastatic HCC without a detectable primary in the liver. We report a unique case in which a patient presented with bilateral large adrenal masses which were subsequently proven to be metastases from HCC. However, there was no tumour seen in the liver on imaging.
authors.affiliation: Changi General Hospital, Department of radiology, Singapore 2 Simei Street 3, Singapore 529889. mundada.pravin@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Mundada
authors.affiliation: Raffles Hospital, Singapore.
authors.forename: M L
authors.initials: ML
authors.lastname: Tan
authors.affiliation: Raffles Hospital, Singapore.
authors.forename: A W E
authors.initials: AW
authors.lastname: Soh