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- Title
Hepatic Metastasis from Adrenocortical Carcinoma Fifteen Years after Primary Resection.
- Authors
Mawardi, Mohammed; Al-Judaibi, Bandar; Marotta, Paul
- Abstract
We report the case of a 73-year-old man who presented with an asymptomatic hepatic mass during investigation of mild chronic obstructive pulmonary disease by a plain chest radiograph, followed by ultrasonography, which revealed a solitary hepatic lesion measuring 7.1 cm × 6.5 cm × 5.8 cm in dimension. Fine- needle aspiration of the mass revealed malignant cells compatible with hepatocellular carcinoma. Interestingly, the patient had a left adrenalectomy and complete left nephrectomy in 1987, for a nonfunctioning left adrenocortical carcinoma (ACC). The ACC was diagnosed as stage two, with no evidence of local invasion or distant metastases. No adjuvant therapy was recommended postoperatively. After a five-year follow-up, there was no evidence of ACC recurrence and the patient was declared cured from his ACC. The patient underwent a complete segmental resection of the right lobe of the liver successfully. The final diagnosis of the mass was a well-differentiated metastatic adrenocortical carcinoma.
- Subjects
ADRENAL tumors; CHEST X rays; LIVER; OBSTRUCTIVE lung diseases; METASTASIS; NEEDLE biopsy; TIME; TOMOGRAPHY; ULTRASONIC imaging; DISEASE relapse
- Publication
Saudi Journal of Gastroenterology, 2012, Vol 18, Issue 2, p140
- ISSN
1319-3767
- Publication type
Article
- DOI
10.4103/1319-3767.93821