학술논문
Muscular Metastasis of Hepatocellular Carcinoma: Case Report and Literature Review.
Document Type
Academic Journal
Author
Nakayama A; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Arai J; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Otoyama Y; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Sugiura I; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Nakajima Y; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Kajiwara A; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Ichikawa Y; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Uozumi S; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Shimozuma Y; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Uchikoshi M; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Sakaki M; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.; Tazawa S; Division of Pathology, Department of Medicine, Showa University School of Medicine, Japan.; Shiozawa E; Division of Pathology, Department of Medicine, Showa University School of Medicine, Japan.; Yamochi T; Division of Pathology, Department of Medicine, Showa University School of Medicine, Japan.; Takimoto M; Division of Pathology, Department of Medicine, Showa University School of Medicine, Japan.; Yoshida H; Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Japan.
Source
Publisher: Japanese Society of Internal Medicine Country of Publication: Japan NLM ID: 9204241 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1349-7235 (Electronic) Linking ISSN: 09182918 NLM ISO Abbreviation: Intern Med Subsets: MEDLINE
Subject
Language
English
Abstract
There are few case reports of hepatocellular carcinoma (HCC) metastasis to the skeletal muscle. A 78-year-old 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.