Journal of Clinical Anesthesia and Research

Perioperative Management of Non-Hepatitis B/ C Hepatocellular Carcinoma with Left Adrenal Incidentaloma for Open Left Adrenalectomy: A Case Report

Abstract

Mew Har Leong

Hepatocellular carcinoma (HCC) is the sixth most common cancer in Malaysia with a prevalence of 2267 cases per 100,000
population. The adrenal gland is the second most common site of metastasis from an HCC [1]. Risk factors for extrahepatic
metastasis are advanced intrahepatic lesions, vascular invasion, elevated tumor markers, and viral hepatitis [2]. All adrenal
tumors with suspicious radiological findings, most functional tumors, and all tumors more than 4 cm in size which lack
characteristic benign imaging features should be surgically excised [3]. Adrenal gland surgery requires multi-disciplinary team
involvement which includes endocrinologist, radiologist, anaesthetist, and surgeon.

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