{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:01:36Z","timestamp":1769126496438,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T00:00:00Z","timestamp":1768694400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 64\u2010year\u2010old male hepatitis B virus (HBV) carrier was admitted to the hospital due to long\u2010term left lumbodorsal pain. He reported having suffered from lumbodorsal pain for 3 months. After visiting our hospital, he underwent a complete urinary system computed tomography (CT) scan, which revealed masses in the thyroid gland and liver. Subsequent efforts focused on the diagnosis, treatment, and prognostic follow\u2010up of this disease. The key focuses of this case are as follows: the potential of small hepatocellular carcinoma for distant metastasis; the role of combined detection of alpha\u2010fetoprotein (AFP) and protein induced by vitamin K absence or antagonist\u2010II (PIVKA\u2010II) in monitoring the disease condition throughout the entire treatment course of liver cancer; the possibility of hemorrhage in adrenal metastatic lesions; and the comprehensive treatment plan formulated after multidisciplinary discussions.<\/jats:p>","DOI":"10.1002\/ccr3.71827","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T04:45:35Z","timestamp":1768797935000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis and Treatment Report of a Case of Small Hepatocellular Carcinoma With Left Adrenal Metastasis and Hemorrhage in an Elderly Male Hepatitis B Virus 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