Jalbani Imran Khan, Nazim Syed M, Tariq Muhammad Usman, Abbas Farahat
Imran Khan Jalbani, Department of Surgery, Aga Khan University, Karachi, Pakistan.
Syed M Nazim, Department of Surgery, Aga Khan University, Karachi, Pakistan.
Pak J Med Sci. 2016 Jul-Aug;32(4):1044-6. doi: 10.12669/pjms.324.10339.
Liver transplantation (LT) is the treatment of choice for localized hepatocellular carcinoma (HCC) associated with cirrhosis. Extra hepatic metastasis is the most common cause of death in these patients. There is very little evidence regarding the natural history and treatment options for patients developing HCC recurrence after LT. Surgical resection offers a unique opportunity for solitary metastasis. We report a 61 year old male with solitary right adrenal metastasis 15 months post LT which was managed with open adrenalectomy. The patient is alive and disease free 24 months after the surgery. The case, histo-pathological findings and literature review is discussed.
肝移植（LT）是伴有肝硬化的局限性肝细胞癌（HCC）的首选治疗方法。肝外转移是这些患者最常见的死亡原因。关于肝移植后发生HCC复发患者的自然病史和治疗选择的证据非常少。手术切除为孤立性转移提供了独特的机会。我们报告了一名61岁男性，在肝移植后15个月出现孤立性右肾上腺转移，接受了开放性肾上腺切除术。术后24个月，患者存活且无疾病。本文讨论了该病例、组织病理学发现及文献复习。
