Isolated adrenal metastasis of hepatocellular carcinoma (HCC) post liver transplantation: a rare entity

Extra hepatic recurrence of hepatocellular carcinoma (HCC) after liver transplant is seen only in 10- 15% cases. Usual site for recurrence is lung, bones and lymph nodes. Adrenal metastasis is rare and usually seen along with other organs recurrence. Isolated adrenal metastasis from HCC after liver transplant is rare entity. Surgical resection of isolated adrenal recurrence is described in few case reports with variable outcome. Here, we also report a case of isolated adrenal recurrence of HCC after liver transplant. Patient was successfully treated him with adrenalectomy. Post adrenalectomy 3 years follow up showed good overall survival without recurrence.