골전이로 첫 임상증상을 보인 간세포암의 임상적 고찰
Hepatocelluar Carcinomas Presenting as Bone Metastasis
소속 상세정보
김준명
장우익/홍사준/이종인/송광선/이동기/권상옥/심영학
KMID : 0360319940260010041
Abstract
We report here five cases of hepatocellular carcinoma with symptomatic bone meatastasis as initial presentation. All patients were men ranging from 60 to 73 years of age. Initial presentations were the result of pelvic mass(1 case), chest wall
mass(1
case), spinal cord compression (2 case) and pathologic fracture of femur(1 case). Of these 5 cases, bone metastasis commonly involved in ribs(5 cases) and in spine(4 cases). Actually, hepatocellular carcinoma presented as symptomatic bone
metastasis is
extremely rare, eventhough bone metastasis from hepatocellular carcinoma is found in 3% to 20% at autopsy. Prognosis is generally poor but palliative treatment with surgery and/or radiation can be considered.
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