1990 Volume 51 Issue 1 Pages 165-170
The authers report a case of hepatocellular carcinoma with hematogenic metastasis to the adrenal gland together with a review of the literature.
A 53-year-old man with the chief complaints of lumbago, dorsalgia, and anorexia was pointed out to have a tumor in the right upper abdomen at a near practitioner, and was admitted to our hospital. On admission no tumor was palpated in the abdomen. Impaired liver function, α-fetoprotein level of 529.5ng/ml, and a slightly elevated noradrenaline were shown. Abdominal computed tomography and ultrasonography revealed the tumor with clear border between the right liver and right kidney, and some tumors in the right lobe of liver. Furthemore, angiography demonstrated the tumor with vascularization, accordingly he was diagnosed to have an adrenal carcinoma with liver metastasis and operated on. But the tumor enlarged the adrenal gland with the capsule, and was enucleated with parts of the liver and kidney. after operation the tumor was ecognized to be hepatocellular carcinoma with adrenal metastasis histopathologically. On ten months after operation he lives a healthy life.
