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Pedunculated HCC or adrenal metastasis: a diagnostic conundrum.
- Source :
-
Singapore medical journal [Singapore Med J] 2007 Feb; Vol. 48 (2), pp. e50-2. - Publication Year :
- 2007
-
Abstract
- Hepatocellular carcinoma (HCC) is the commonest primary liver tumour. Recurrences are common in the liver although extrahepatic metastases can occur and frequently involve the adrenals. When this occurs in the right adrenal gland, it can be confused with an exophytic HCC arising from the posterior surface of the liver. The distinction between a primary HCC and a metastasis is important but can be difficult in this clinical setting. We report a 52-year-old man with recurrent HCC presenting as an "exophytic" posterior liver surface lesion that was actually a right adrenal metastasis. Although right-sided adrenal metastases of HCC can be difficult to distinguish from intrahepatic recurrences, even with modern diagnostic imaging, management either way involves surgical exploration and resection whenever possible.
- Subjects :
- Carcinoma, Hepatocellular surgery
Diagnosis, Differential
Humans
Liver Neoplasms surgery
Male
Middle Aged
Neoplasm Recurrence, Local surgery
Ultrasonography
Adrenal Gland Neoplasms diagnostic imaging
Adrenal Gland Neoplasms secondary
Carcinoma, Hepatocellular diagnostic imaging
Liver Neoplasms diagnostic imaging
Neoplasm Recurrence, Local diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 2737-5935
- Volume :
- 48
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Singapore medical journal
- Publication Type :
- Academic Journal
- Accession number :
- 17304379