Document Detail

Adrenal metastasis from hepatocellular carcinoma--report of a case.
MedLine Citation:
PMID:  8908578     Owner:  NLM     Status:  MEDLINE    
A 66-year-old man presented with an epigastric tumor demonstrated by both ultrasonography and computed tomography as hepatocellular carcinoma. He referred himself to a specialist at another hospital who performed transarterial embolization (TAE) of the hepatic artery. But the serum alpha fetoprotein (AFP) concentration gradually rose after the procedure. A right adrenal metastasis was discovered by computed tomography 9 months after his presentation, 8 months after first embolization. When TAE was performed for this metastasis, there was transverse palsy of the lower limb secondary to spinal artery embolization. He returned to our hospital where a right adrenectomy was performed 14 months after his first presentation. The operation was successful and he was discharged 6 weeks later. But he was readmitted in 8 months with an elevated serum AFP concentration and died within 2 weeks. The details of this case are presented, and the indications for resection of adrenal metastasis from hepatocellular carcinoma are discussed.
Y Kitagawa; T Tajika; N Kameoka; Y Kanda; T Watanabe; A Miura; T Teramoto; O Masai; T Onuma
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  43     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    1996 Sep-Oct
Date Detail:
Created Date:  1997-02-13     Completed Date:  1997-02-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  GREECE    
Other Details:
Languages:  eng     Pagination:  1383-6     Citation Subset:  IM    
Department of Surgery, Kumiai General Hospital.
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MeSH Terms
Adrenal Gland Neoplasms / blood,  secondary*,  surgery
Carcinoma, Hepatocellular / blood,  secondary*,  therapy
Embolization, Therapeutic
Fatal Outcome
Hepatic Artery
Liver Neoplasms / blood,  pathology*,  therapy
alpha-Fetoproteins / analysis
Reg. No./Substance:

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