Atypical presentation of hepatocellular carcinoma: a mass on the left thoracic wall

doi:10.1186/1471-2407-4-89

BMC Cancer

Volume 4

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Çoban Ş
Yüksel O
Köklü S
Ceyhan K
Baykara M
Dökmeci A

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Yüksel O
Köklü S
Ceyhan K
Baykara M
Dökmeci A
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Case report

Atypical presentation of hepatocellular carcinoma: a mass on the left thoracic wall

Şahin Çoban¹ , Osman Yüksel² , Seyfettin Köklü² , Koray Ceyhan³ , Meltem Baykara¹ and Abdulkadir Dökmeci¹

¹Department of Gastroenterology, Ankara University Medical School, 06100, Ankara, Turkey

²Department of Gastroenterology, Türkiye Yüksek İhtisas Hospital, 06100, Ankara, Turkey

³Division of Clinical Cytology, Department of Pathology, Ankara University Medical School, 06100, Ankara, Turkey

author email corresponding author email

BMC Cancer 2004, 4:89doi:10.1186/1471-2407-4-89


Published:	1 December 2004

Abstract

Background

Hepatocellular carcinoma is a common malignancy for which chronic hepatitis B infection has been defined as the most common etiologic factor. The most frequent metastatic sites are the lung, bone, lymphatics, and brain, respectively. Metastases to the chest wall have been reported only rarely.

Case presentation

We report a patient with hepatocellular carcinoma who presented with an isolated metastatic mass on the left anterolateral chest wall in the axillary region.

Conclusions

Metastasis of HCC should be included in the differential diagnosis of rapidly growing lesions in unusual localizations, particularly in patients with chronic liver disease even if a primary tumor can not be radiologically identified.