Zeineddine Fadl A, Ahmed Zunirah, Victor David, Farach Andrew, Divatia Mukul, Kodali Sudha
Department of Internal Medicine, Houston Methodist Hospital, Houston TX.
Division of Gastroenterology and Hepatology, Houston Methodist Hospital, Houston, TX.
ACG Case Rep J. 2023 Jun 5;10(6):e01065. doi: 10.14309/crj.0000000000001065. eCollection 2023 Jun.
Hepatocellular carcinoma is the sixth most common cancer in the Western world. The most frequent sites of metastasis are lungs, lymph nodes, and bones. Risk factors for extrahepatic metastasis are advanced intrahepatic lesions, vascular invasion, elevated tumor markers, and viral hepatitis. Isolated metachronous adrenal metastasis occurring after liver transplantation is exceedingly rare.
肝细胞癌是西方世界第六大常见癌症。最常见的转移部位是肺、淋巴结和骨骼。肝外转移的危险因素包括肝内病变进展、血管侵犯、肿瘤标志物升高和病毒性肝炎。肝移植后发生孤立性异时性肾上腺转移极为罕见。