[Laparoscopic adrenalectomy for the adrenal gland metastasis from hepatocellular carcinoma].

Source:http://linkedlifedata.com/resource/pubmed/id/17212101

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Authors

Sakon M, Niinobu T, Higaki N, Yamashita S, Amano M, Takiuchi H, Nakao A, Hayashida H, Nakagawa S

Affiliation

Dept. of Surgery, Nishinomiya Municipal Hospital.

Abstract

We present a case of a 70-year-old man with an anamnesis of intra-cerebral bleeding that resulted in right half of the body paralysis and right diaphragm paralysis, The present clinical history indicated hepatocellular carcinoma (HCC) caused by hepatitis C and liver cirrhosis during a regular hospital visit, and the patient had a total of 4 TAEs enforced from three years before. A 4 x 3.5 cm neoplasm at the left adrenal was detected by CT inspection this time. The diagnosis was a metastatic adrenal gland tumor from HCC. Since HCC is controlled by TAE, the metastatic lesions were not found in other organs and were isolated, of 10 cm or less in size. Hence, laparoscopic adrenalectomy was performed in March, 2006. He started having a meal from the 2nd day after the operation. He left the hospital on the 9th day. Pathologial diagnosis was a metastatic adrenal gland tumor from moderately differentiated hepatocellular carcinoma. When observing the adaptation standard strictly to the high-risk case, it was thought that the metastatic tumor extraction under laparoscopic surgery could become a low stress cure in consideration of QOL being useful as a local treatment for cancer.

PMID
17212101

Publication types

English Abstract; Case Reports