Ectopic hepatocellular carcinoma presenting as a right adrenal mass with IVC thrombus: Case report and review of the literature

被引:5
作者
Wei, Nancy [1 ]
Wong, Vincent [2 ]
Matz, Ariana [1 ]
Vemulakonda, Lakshmisree Akhila [3 ]
Wang, Xiaotong [3 ]
Phillips, John [2 ]
机构
[1] New York Med Coll, Valhalla, NY 10595 USA
[2] New York Med Coll, Dept Urol, 19 Skyline Dr 1S-B45a, Valhalla, NY 10595 USA
[3] Westchester Med Ctr, Dept Pathol, Valhalla, NY USA
来源
UROLOGY CASE REPORTS | 2022年 / 40卷
关键词
Adrenalectomy; Tumor thrombus; Hepatocellular carcinoma;
D O I
10.1016/j.eucr.2021.101900
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Hepatocellular carcinoma (HCC) arises from several different etiologies and carries a poor prognosis. Extrahe-patic metastases of HCC are most frequently found in the lungs, lymph nodes, and bones, with adrenal metastases reported in less than 15% of metastatic cases. Herein, we report a case of a 71-year-old man without prior liver disease who presented with a 9-cm right adrenal mass extending into the IVC consistent with HCC on subsequent surgical pathology and immunohistochemical staining. Etiological possibilities for an adrenal tumor as the first presentation of HCC include metastasis from occult primary liver HCC, intra-adrenal hepatic heterotopia, and adrenohepatic fusion.
引用
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页数:3
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