Wide Resection of Recurrent Adrenocortical Carcinoma in a Patient with Concomitant Hepatocellular Carcinoma

Abstract

Introduction: Adrenocortical carcinoma (ACC) is a rare tumor with a high recurrence rate. Despite complete removal of the tumor, many patients will eventually relapse.Case Report: A 62-year-old man with recurrent hepatocellular carcinoma (HCC) who had undergone transcatheter arterial embolization six times in two consecutive years, was found to have a left adrenal incidentaloma by computed tomography (CT) of the abdomen. A stage III ACC was confirmed after surgical removal. Five months later, he underwent complete resection of recurrent ACC involving multiple adjacent organs. HCC recurrence and possible ACC recurrence were noted six months after the second surgery. The patient received Doxorubicin as systemic therapy for 3 month.Conclusions: Complete resection of locally recurrent disease (ACC) without causing severe morbidity may be feasible.