A case report of metastatic hepatocellular carcinoma in the mandible and coracoid process

Research output: Contribution to journalArticle

Abstract

Rationale: We report a rare case of hepatocellular carcinoma (HCC) with metastases to the mandible and coracoid process of scapula without evidence of lung involvement. Patients concerns: The patient was diagnosed with HCC, presented 5 months later with right lower tooth pain, swelling over the right mandible area and right shoulder pain. Diagnoses: Histopathological examination of mandible showed findings suggestive of metastatic HCC. Magnetic resonance imaging (MRI) of the right shoulder revealed findings of irregular enhancing lesion at the right coracoid process causing erosion of the coracoid process. Interventions: Patient was subsequently referred for palliative medicine care. Outcomes: He received adequate analgesia. Lessons: Oral cavity and scapula metastases from HCC are very rare. Most oral metastases are associated with lung metastases, and they possibly occur by hematogenous route. In our case, the possible pathway of metastasis is an anastomotic network of paravertebral veins that bypasses the pulmonary, inferior caval, and portal venous circulations.

LanguageEnglish
Article numbere8884
JournalMedicine (United States)
Volume97
Issue number4
DOIs
Publication statusPublished - Jan 1 2018

Fingerprint

Mandible
Hepatocellular Carcinoma
Neoplasm Metastasis
Scapula
Lung
Venae Cavae
Shoulder Pain
Pulmonary Veins
Analgesia
Mouth
Tooth
Magnetic Resonance Imaging
Coracoid Process
Pain

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

A case report of metastatic hepatocellular carcinoma in the mandible and coracoid process. / Md Radzi, Ahmad Bakhtiar; Tan, Soek Siam.

In: Medicine (United States), Vol. 97, No. 4, e8884, 01.01.2018.

Research output: Contribution to journalArticle

@article{c708f92ea5a840cead3ef9d8954bae1f,
title = "A case report of metastatic hepatocellular carcinoma in the mandible and coracoid process",
abstract = "Rationale: We report a rare case of hepatocellular carcinoma (HCC) with metastases to the mandible and coracoid process of scapula without evidence of lung involvement. Patients concerns: The patient was diagnosed with HCC, presented 5 months later with right lower tooth pain, swelling over the right mandible area and right shoulder pain. Diagnoses: Histopathological examination of mandible showed findings suggestive of metastatic HCC. Magnetic resonance imaging (MRI) of the right shoulder revealed findings of irregular enhancing lesion at the right coracoid process causing erosion of the coracoid process. Interventions: Patient was subsequently referred for palliative medicine care. Outcomes: He received adequate analgesia. Lessons: Oral cavity and scapula metastases from HCC are very rare. Most oral metastases are associated with lung metastases, and they possibly occur by hematogenous route. In our case, the possible pathway of metastasis is an anastomotic network of paravertebral veins that bypasses the pulmonary, inferior caval, and portal venous circulations.",
author = "{Md Radzi}, {Ahmad Bakhtiar} and Tan, {Soek Siam}",
year = "2018",
month = "1",
day = "1",
doi = "10.1097/MD.0000000000008884",
language = "English",
volume = "97",
journal = "Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries",
issn = "0025-7974",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - A case report of metastatic hepatocellular carcinoma in the mandible and coracoid process

AU - Md Radzi, Ahmad Bakhtiar

AU - Tan, Soek Siam

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Rationale: We report a rare case of hepatocellular carcinoma (HCC) with metastases to the mandible and coracoid process of scapula without evidence of lung involvement. Patients concerns: The patient was diagnosed with HCC, presented 5 months later with right lower tooth pain, swelling over the right mandible area and right shoulder pain. Diagnoses: Histopathological examination of mandible showed findings suggestive of metastatic HCC. Magnetic resonance imaging (MRI) of the right shoulder revealed findings of irregular enhancing lesion at the right coracoid process causing erosion of the coracoid process. Interventions: Patient was subsequently referred for palliative medicine care. Outcomes: He received adequate analgesia. Lessons: Oral cavity and scapula metastases from HCC are very rare. Most oral metastases are associated with lung metastases, and they possibly occur by hematogenous route. In our case, the possible pathway of metastasis is an anastomotic network of paravertebral veins that bypasses the pulmonary, inferior caval, and portal venous circulations.

AB - Rationale: We report a rare case of hepatocellular carcinoma (HCC) with metastases to the mandible and coracoid process of scapula without evidence of lung involvement. Patients concerns: The patient was diagnosed with HCC, presented 5 months later with right lower tooth pain, swelling over the right mandible area and right shoulder pain. Diagnoses: Histopathological examination of mandible showed findings suggestive of metastatic HCC. Magnetic resonance imaging (MRI) of the right shoulder revealed findings of irregular enhancing lesion at the right coracoid process causing erosion of the coracoid process. Interventions: Patient was subsequently referred for palliative medicine care. Outcomes: He received adequate analgesia. Lessons: Oral cavity and scapula metastases from HCC are very rare. Most oral metastases are associated with lung metastases, and they possibly occur by hematogenous route. In our case, the possible pathway of metastasis is an anastomotic network of paravertebral veins that bypasses the pulmonary, inferior caval, and portal venous circulations.

UR - http://www.scopus.com/inward/record.url?scp=85041255866&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041255866&partnerID=8YFLogxK

U2 - 10.1097/MD.0000000000008884

DO - 10.1097/MD.0000000000008884

M3 - Article

VL - 97

JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

T2 - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries

SN - 0025-7974

IS - 4

M1 - e8884

ER -