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CASE REPORT
Year : 2016  |  Volume : 4  |  Issue : 2  |  Page : 87-90

Isolated unilateral adrenal metastasis as a presenting feature of occult hepatocellular carcinoma


1 Department of General Surgery, KMCT Medical College, Kozhikode, Kerala, India
2 Department of Pathology, Baby Memorial Hospital, Kozhikode, Kerala, India
3 Department of Gastroenterology, Malabar Medical College, Kozhikode, Kerala, India

Correspondence Address:
P V Pradeep
Department of General Surgery, KMCT Medical College, Mukkam, Kozhikode, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.183702

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Unilateral isolated adrenal metastasis from occult hepatocellular carcinoma (HCC) is extremely rare and seldom reported. We report a case where radiological and biochemical evidence of HCC was absent in a patient with metastatic adrenal mass. A 69-year-old male patient was investigated for abdominal pain which revealed a left adrenal mass. Contrast-enhanced computed tomography was suggestive of adrenocortical carcinoma (ACC). Resection was performed and the histopathology revealed metastasis from HCC. However, the primary in the liver could be radiologically and biochemically demonstrated only 6 months later. Even though rare in occurrence, radiologically undetectable HCC can present as unilateral adrenal mass, which can be mistaken as ACC.


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