Although it is common to have extra-hepatic metastasis of
hepatocellular carcinoma (HCC) at the time of presentation,
it is extremely rare to have extra-hepatic metastatic HCC
without a detectable primary in the liver. We report a unique
case in which a patient presented with bilateral large adrenal
masses which were subsequently proven to be metastases
from HCC. However, there was no tumour seen in the liver on
imaging.
Carcinoma, Hepatocellular