Solitary scalp metastasis – a rare presentation of hepatocellular carcinoma

Annals of Surgical Innovation and Research

Duminda Subasinghe²  Chathuranga Tisara Keppetiyagama³  Hemantha Sudasinghe²  Saman Wadanamby³  Niranthi Perera⁴  Sivasuriya Sivaganesh¹ 

[1] Department of Surgery, Faculty of Medicine, Kynsey Road, Colombo, Sri, Lanka

[2] University Surgical Unit, The National Hospital of Sri Lanka, Colombo, Sri Lanka

[3] Department of Neurosurgery, The National Hospital of Sri Lanka, Colombo, Sri Lanka

[4] Department of Pathology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka

关键词: Skull metastasis;    Hepatocellular carcinoma;   

Others  :  1213718
DOI  :  10.1186/s13022-015-0013-2

 received in 2014-10-24, accepted in 2015-06-03,  发布年份 2015

【 摘 要 】

Introduction

Hepatocellular carcinoma (HCC) is among the commonest cancers in the world. Metastasis is one of the most significant factors affecting prognosis. Common sites of extrahepatic metastases include lungs, regional lymph nodes and less commonly bone.

Case presentation

A 56-year-old male presented with a painless occipital scalp lump of three months duration, with recent rapid enlargement. His skull x-ray showed a lytic lesion over occipital bone and the contrast CT scan of the brain showed a scalp mass with destruction of the adjacent skull. Core biopsy of the lesion revealed a metastatic deposit from a hepatocellular carcinoma.

Conclusion

Primary presentation with skeletal metastases are rare in HCC with only a few reported cases. Here we report a case of HCC presenting as a solitary scalp lump.

【 授权许可】

   
2015 Subasinghe et al.

【 图 表 】

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