OWN - NLM
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.