Amudha Kumar1, Gautham Surya Tej Kola1, Elamurugan TP1*, Harish Kumar1 and Venkatesh Dhanasekaran2
1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, India
2Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, India
Hepatocellular Carcinoma (HCC) is the 5th most common cancer in men and the second most common cause of death from cancer worldwide. Most cases present with right upper abdominal pain and a palpable mass. Extrahepatic metastasis is usually to the lungs (49%), followed by other intraabdominal organs (24%) and bones. We present a 60-year-old gentleman with chief complaints of rapidly progressing soft tissue swelling over the left scapular region. CECT scan revealed a swelling of 7 cm × 9 cm × 6 cm over the left scapular region and a well-defined lesion of size 2.5 cm × 3 cm × 4 cm in segment 8 of the liver (enhancing in the arterial phase with washout of the contrast in the delayed phase, suggestive of Hepatocellular carcinoma). Metastatic lesions were also found in bilateral lungs, T11 vertebral body, and left inferior pubic ramus. A core needle biopsy of the swelling confirmed the diagnosis of HCC. To the best of our knowledge soft tissue metastases is extremely rare and very cases are described in literature.
Hepatocellular carcinoma; Metastases; Soft tissue swelling; Cancer
Kumar A, Kola GST, Elamurugan TP, Kumar H, Dhanasekaran V. Metastatic Hepatocellular Carcinoma Masquerading as Soft Tissue Sarcoma.Clin Surg. 2019; 4: 2413.