title: Adrenalectomy for solitary metastasis of Hepatocellular carcinoma post liver transplantation: Case report and literature review.
abstract: Liver transplantation (LT) is the treatment of choice for localized hepatocellular carcinoma (HCC) associated with cirrhosis. Extra hepatic metastasis is the most common cause of death in these patients. There is very little evidence regarding the natural history and treatment options for patients developing HCC recurrence after LT. Surgical resection offers a unique opportunity for solitary metastasis. We report a 61 year old male with solitary right adrenal metastasis 15 months post LT which was managed with open adrenalectomy. The patient is alive and disease free 24 months after the surgery. The case, histo-pathological findings and literature review is discussed.
authors.affiliation: Imran Khan Jalbani, Department of Surgery, Aga Khan University, Karachi, Pakistan.
authors.forename: Imran Khan
authors.initials: IK
authors.lastname: Jalbani
authors.affiliation: Syed M Nazim, Department of Surgery, Aga Khan University, Karachi, Pakistan.
authors.forename: Syed M
authors.initials: SM
authors.lastname: Nazim
authors.affiliation: Muhammad Usman Tariq, Department of Pathology, Aga Khan University, Karachi, Pakistan.
authors.forename: Muhammad Usman
authors.initials: MU
authors.lastname: Tariq
authors.affiliation: Farahat Abbas, Department of Surgery, Aga Khan University, Karachi, Pakistan.
authors.forename: Farahat
authors.initials: F
authors.lastname: Abbas
keywords: Adrenalectomy; Hepatocellular carcinoma; Liver transplantation; Metastasis