Adrenalectomy for solitary metastasis of Hepatocellular carcinoma post liver transplantation: Case report and literature review | [Pakistan Journal of Medical Sciences • 2016]

Author(s):

1. Imran Khan Jalbani: Department of Surgery Aga Khan University,Karachi, Pakistan

2. Syed M Nazim: Department of Surgery Aga Khan University,Karachi, Pakistan

3. Muhammad Usman Tariq: Department of Surgery Aga Khan University,Karachi, Pakistan

4. Farahat Abbas: Department of Surgery Aga Khan University,Karachi, Pakistan

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.

Page(s): 1044-1046

DOI: 10.12669/pjms.324.10339

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 32, Issue: 4, Year: 2016

Keywords:

Hepatocellular carcinoma , Metastasis , Liver transplantation , Adrenalectomy

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