Abstract
Unilateral isolated adrenal metastasis from occult hepatocellular carcinoma (HCC) is extremely rare and seldom reported. We report a case where radiological and biochemical evidence of HCC was absent in a patient with metastatic adrenal mass. A 69-year-old male patient was investigated for abdominal pain which revealed a left adrenal mass. Contrast-enhanced computed tomography was suggestive of adrenocortical carcinoma (ACC). Resection was performed and the histopathology revealed metastasis from HCC. However, the primary in the liver could be radiologically and biochemically demonstrated only 6 months later. Even though rare in occurrence, radiologically undetectable HCC can present as unilateral adrenal mass, which can be mistaken as ACC.
Published Version
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