We report a ease of successful liver transplantation in a young man with me
tastatic hemangiopericytoma confined to the liver. He had a primary retrope
ritoneal hemangiopericytoma removed in 1982 and was diagnosed as having liv
er metastases 8 years later. Subsequently, he developed hypoglycemia, which
did not respond to chemotherapy. Hepatectomy and transplantation resolved
his hypoglycemic attacks. Re remained well and symptom free for 4 years. Li
ver transplantation can provide effective palliation and should be consider
ed in carefully selected patients with localized metastatic cancer.