Muscular Metastasis of Hepatocellular Carcinoma: Case Report and Literature Review

被引:1
作者
Nakayama, Akihiro [1 ]
Arai, Jun [1 ]
Otoyama, Yumi [1 ]
Sugiura, Ikuya [1 ]
Nakajima, Yoko [1 ]
Kajiwara, Atsushi [1 ]
Ichikawa, Yuki [1 ]
Uozumi, Shojiro [1 ]
Shimozuma, Yuu [1 ]
Uchikoshi, Manabu [1 ]
Sakaki, Masashi [1 ]
Tazawa, Sakiko [2 ]
Shiozawa, Eisuke [2 ]
Yamochi, Toshiko [2 ]
Takimoto, Masafumi [2 ]
Yoshida, Hitoshi [1 ]
机构
[1] Showa Univ, Dept Med, Div Gastroenterol, Sch Med, Shinagawa City, Tokyo, Japan
[2] Showa Univ, Dept Med, Div Pathol, Sch Med, Shinagawa City, Tokyo, Japan
关键词
contrast-enhanced ultrasonography; hepatocellular carcinoma; muscular metastasis; teres major muscle; moderately differentiated; MUSCLE METASTASIS; PROGRESSION; INVASION; ROLES; LIVER;
D O I
10.2169/internalmedicine.7200-21
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There are few case reports of hepatocellular carcinoma (HCC) metastasis to the skeletal muscle. A 78-yearold man developed a mass in the right shoulder. Washout of contrast medium during contrast-enhanced ultrasonography (CEUS) in both the primary HCC and the metastatic site was detected. Several nodules were scattered throughout the liver on an autopsy. In addition, the moderately differentiated HCC had metastasized to the right teres major muscle. Rare muscular metastasis should be considered if a hepatic tumor is moderately or poorly differentiated HCC. Early washout during CEUS is consistent with a pathological diagnosis of moderately or poorly differentiated HCC.
引用
收藏
页码:189 / 196
页数:8
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