Li C D, Kakizoe T, Tobisu K, Tanaka Y, Mizutani T, Makuuchi M, Ohkura H, Teshima S
Department of Urology, National Cancer Center Hospital, Tokyo.
Jpn J Clin Oncol. 1990 Dec;20(4):420-5.
The case is presented of a 64-year-old male with a left adrenal mass and multiple liver lesions. Preoperative image work-ups included ultrasonography, computed tomography, selective liver and adrenal angiographies, and magnetic resonance imaging. Serial serum alpha-fetoprotein monitoring and the adrenal hormone profile were within the normal ranges. A left adrenalectomy and a right lobectomy of the liver were performed, and the pathology revealed hepatocellular carcinoma with left adrenal metastasis. The clinical significance of the present case, together with the diagnosis and management of the disease is discussed.
本文报告一例64岁男性，患有左肾上腺肿块和多发肝脏病变。术前影像学检查包括超声、计算机断层扫描、选择性肝脏和肾上腺血管造影以及磁共振成像。血清甲胎蛋白系列监测和肾上腺激素谱均在正常范围内。实施了左肾上腺切除术和肝脏右叶切除术，病理显示为肝细胞癌伴左肾上腺转移。本文讨论了该病例的临床意义以及该疾病的诊断和治疗。
