Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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A SCAPULAR METASTASIS OF THE HEPATOCELLULAR CARCINOMA – CASE REPORT
N. Vlad (1), R. Moldovanu (1), C. Lupaşcu (1), G. Răileanu (1),
M. Borcea (2), D. Ferariu (3), Liliana Vlad (4)
(1) First Surgical Clinic „I. Tănăsescu-Vl. Buţureanu”, „St. Spiridon” Hospital Iaşi
(2) Intensive Care and Anesthesia Department, „St. Spiridon” Hospital Iaşi
„Gr.T. Popa” University of Medicine and Pharmacy Iaşi
(3) Department of Pathology, „St. Spiridon” Hospital Iaşi
(4) Department of Infectious Diseases, Hârlău Hospital
Jurnalul de chirurgie 2009; 5 (1): 77-81
Full text:
Format PDF (Română/Romanian)

Abstract:

Hepatocellular carcinoma (HCC) is a primary liver cancer frequently related with liver cirrhosis; the common way for metastasis spread is the blood stream. The bone metastasis from a HCC is uncommon. We present an unusual scapular metastasis from a HCC as a first sign of the liver tumor. A 76 year old man has been reffered to our surgical unit presenting a solid painful tumor located in the scapular region. The clinical and ultrasound examination established the diagnosis of a soft tissue tumor. Intraoperative exploration revealed a brown sponge mass, extremly soft and bleeding. The resection of the tumor has been performed. The pathologic exam revealed the diagnosis of a metastasis from a well differentiated HCC. The postoperative abdominal ultrasound exam was performed and revealed two tumors situated in V-th and VII-th segments. The patient refuse other imagistic exams and surgical procedures.

KEY WORDS: HEPATOCELLULAR CARCINOMA, BONE METASTASIS

Correspondence to: Nuţu Vlad, MD, First Surgical Clinic, „St. Spiridon” Hospital Iaşi, Independenţei Street, No 1, 700111, Iaşi, Romania; e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.