PMC3017699_01
A CT scan reveals a newly-developed solitary left adrenal mass, which was 3.5 x 2.3 cm in size, homogenous, and well-demarcated, suggesting HCC metastasis (A). Pathologic specimen following adrenalectomy (B) and microscopic exam, Hematoxylin & Eosin stain, x100 (C).
ymj-52-199-g001.jpg
PMC3017699_01_ymj-52-199-g001.jpg
F1
Eleven months post-transplantation, a CT scan revealed a solitary left adrenal mass, 3.5 x 2.3 cm in size, without any other recurrent lesions (Fig. 1A). Tumor emboli were present in the blood vessels connecting to the mass (Fig. 1B). The pathological examination demonstrated metastatic HCC without metastatic lymph nodes retrieved from around the aorta and the left renal vessels (Fig. 1C).
PMC3017699_02
A CT scan demonstrates a ruptured HCC located in segment VIII of the liver (A). Central bisectionectomy was performed following TACE, and the mass was a 5.7 cm HCC with 60% necrosis (B). HCC, hepatocellular carcinoma.
ymj-52-199-g002.jpg
PMC3017699_02_ymj-52-199-g002.jpg
F2
The patient then underwent a central bisectionectomy in February 2005 due to a remaining viable tumor (Fig. 2A). The tumor was 5.7-cm in diameter and the resection margin was tumor-free with a distance of 3.5 cm (Fig. 2B).
A newly-developed, 3 cm-sized heterogeneous mass was found in the hilum of the spleen after liver transplantation (A and B). Pathologic specimen following splenectomy (C) and microscopic exam, Hematoxylin & Eosin stain, x40 (D).
ymj-52-199-g003.jpg
PMC3017699_02_ymj-52-199-g003.jpg
F3
Four months after the liver transplantation, a newly-developed 3 cm-sized heterogeneous mass was found in the hilum of the spleen (Fig. 3A and B). It was partially encapsulated and was pathologically compatible with metastatic HCC (Fig. 3C and D).