A Case Report of Surgically Removed Adrenal Metastasis from Hepatocellular Carcinoma

Hodaka Amano, Takeo Yokoyama, Hidehiko Kashiwabara, Tadashi Hachisu, Kouichirou Ohmori, Masanori Ichinose

Department of Surgery, Sakura National Hospital

A 65-year-old male underwent resection of an adrenal metastasis from hepatocellular carcinoma (HCC) in March 1989. The disease was diagnosed as HCC with multiple intrahepatic metastases in April 1986 and was treated three times by transcatheter arterial embolization (TAE). Follow-up computed tomography first revealed a 2.5×2.0 cm left adrenal metastasis in January 1987. The adrenal metastasis gradually became larger but the HCC itself was in good control with TAE. Therefore the adrenal metastasis was removed by surgery. The tumor was 12.5×8 cm in size and weighed 370 g. The histological findings of the tumor were the same as HCC. In this case, the combined therapy of TAE and surgery made it possible for the patient to live over 51 months since the tumor was first diagnosed.

Key words
metastatic adrenal tumor, hepatocellular carcinoma, transcatheter arterial embolization

Reprint requests
Hodaka Amano Department of Surgery, Sakura National Hospital
2-36-2 Ebaradai, Sakura-shi, 285 JAPAN

Accepted
July 10, 1990

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