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A case report of metastatic hepatocellular carcinoma in the mandible and coracoid process: A rare presentation.

Abstract We report a rare case of hepatocellular carcinoma (HCC) with metastases to the mandible and coracoid process of scapula without evidence of lung involvement.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29369168
OWN - NLM
STAT- In-Process
LR  - 20180125
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 4
DP  - 2018 Jan
TI  - A case report of metastatic hepatocellular carcinoma in the mandible and coracoid
      process: A rare presentation.
PG  - e8884
LID - 10.1097/MD.0000000000008884 [doi]
AB  - RATIONALE: We report a rare case of hepatocellular carcinoma (HCC) with
      metastases to the mandible and coracoid process of scapula without evidence of
      lung involvement. PATIENTS CONCERNS: The patient was diagnosed with HCC,
      presented 5 months later with right lower tooth pain, swelling over the right
      mandible area and right shoulder pain. DIAGNOSES: Histopathological examination
      of mandible showed findings suggestive of metastatic HCC. Magnetic resonance
      imaging (MRI) of the right shoulder revealed findings of irregular enhancing
      lesion at the right coracoid process causing erosion of the coracoid process.
      INTERVENTIONS: Patient was subsequently referred for palliative medicine care.
      OUTCOMES: He received adequate analgesia. LESSONS: Oral cavity and scapula
      metastases from HCC are very rare. Most oral metastases are associated with lung 
      metastases, and they possibly occur by hematogenous route. In our case, the
      possible pathway of metastasis is an anastomotic network of paravertebral veins
      that bypasses the pulmonary, inferior caval, and portal venous circulations.
FAU - Md Radzi, Ahmad Bakhtiar
AU  - Md Radzi AB
AD  - Department of Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai
      Buloh Campus, Jalan Hospital, Sungai Buloh.
FAU - Tan, Soek-Siam
AU  - Tan SS
AD  - Department of Hepatology, Hospital Selayang, Batu Caves, Selangor, Malaysia.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2018/01/26 06:00
MHDA- 2018/01/26 06:00
CRDT- 2018/01/26 06:00
PHST- 2018/01/26 06:00 [entrez]
PHST- 2018/01/26 06:00 [pubmed]
PHST- 2018/01/26 06:00 [medline]
AID - 10.1097/MD.0000000000008884 [doi]
AID - 00005792-201801260-00001 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jan;97(4):e8884. doi: 10.1097/MD.0000000000008884.