A Case of Surgical Treatment for Adrenal Metastasis from Recurrent Intrahepatic Hepatocellular Carcinoma.

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  • 肝内再発肝細胞癌の副腎転移の１例

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Abstract

We report left adrenalectomy for adrenal metastasis from recurrent hepatocellular carcinoma controlled by transarterial embolization chemotherapy (TAE). A 62-year-old man underwent hepatectomy for hepatocellular carcinoma (HCC). Six months later, serum alpha-fetoprotein (AFP) markedly increased, indicating intrahepatic recurrence, whitch was treated by TAE. Three years later, serum AFP did not decrease after TAE and computed tomography (CT) showed left adrenal metastasis, necessitating left adrenalectomy. The patient remains in good health with normal serum AFP 17 months after surgery. Improved HCC treatment should increase cases of resectable adrenal metastasis. The literature reports 29 cases, including the present one. Surgical resection appears to be the best treatment for patients with adrenal metastasis unless other distant metastases or uncontrollable intrahepatic recurrence is detected.

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