Saudi Journal of Gastroenterology
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Year : 2012  |  Volume : 18  |  Issue : 2  |  Page : 140-142

Hepatic metastasis from adrenocortical carcinoma fifteen years after primary resection

Division of Gastroenterology, The University of Western Ontario, London, ON, Canada

Correspondence Address:
Bandar Al-Judaibi
Room E2-314, Victoria Hospital, London Health Sciences Centre, 800 Commissioners Road East, London, ON, N6A 4GF
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.93821

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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 non-functioning 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.

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