A Rare Case of Mistaken Identity: Metastatic Hepatocellular Carcinoma to the Nose
Hepatocellular carcinoma most often metastasizes to the lungs, abdominal lymph nodes, or bone. The identification of extrahepatic metastases of hepatocellular carcinoma to the sinonasal region has rarely been reported. We report a case of a 49 year-old man with a history of stage IV hepatocellular c...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Oxford University Press
2010-06-01
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| Series: | Journal of Surgical Case Reports |
| Subjects: | |
| Online Access: | http://jscr.co.uk/2010/06/hepatobiliary-surgery/a-rare-case-of-mistaken-identity-metastatic-hepatocellular-carcinoma-to-the-nose/ |
| _version_ | 1818290791352631296 |
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| author | GK Lee HP Lorenz SV Mohan |
| author_facet | GK Lee HP Lorenz SV Mohan |
| author_sort | GK Lee |
| collection | DOAJ |
| description | Hepatocellular carcinoma most often metastasizes to the lungs, abdominal lymph nodes, or bone. The identification of extrahepatic metastases of hepatocellular carcinoma to the sinonasal region has rarely been reported. We report a case of a 49 year-old man with a history of stage IV hepatocellular carcinoma presenting with two adjacent pigmented lesions on the tip of his nose. Initial pathological staining identified the lesion as a primary melanoma. However, upon further examination with the chemical markers CEA, CAM 5.2, and Keratin, it was determined that the lesions were consistent with hepatocellular carcinoma. This case highlights a potentially rare situation of mistaking a liver metastasis for a malignant melanoma. |
| first_indexed | 2024-12-13T02:33:47Z |
| format | Article |
| id | doaj.art-5a31680b99a848f3b794786d22114bca |
| institution | Directory Open Access Journal |
| issn | 2042-8812 |
| language | English |
| last_indexed | 2024-12-13T02:33:47Z |
| publishDate | 2010-06-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Journal of Surgical Case Reports |
| spelling | doaj.art-5a31680b99a848f3b794786d22114bca2022-12-22T00:02:26ZengOxford University PressJournal of Surgical Case Reports2042-88122010-06-0143A Rare Case of Mistaken Identity: Metastatic Hepatocellular Carcinoma to the NoseGK LeeHP LorenzSV MohanHepatocellular carcinoma most often metastasizes to the lungs, abdominal lymph nodes, or bone. The identification of extrahepatic metastases of hepatocellular carcinoma to the sinonasal region has rarely been reported. We report a case of a 49 year-old man with a history of stage IV hepatocellular carcinoma presenting with two adjacent pigmented lesions on the tip of his nose. Initial pathological staining identified the lesion as a primary melanoma. However, upon further examination with the chemical markers CEA, CAM 5.2, and Keratin, it was determined that the lesions were consistent with hepatocellular carcinoma. This case highlights a potentially rare situation of mistaking a liver metastasis for a malignant melanoma.http://jscr.co.uk/2010/06/hepatobiliary-surgery/a-rare-case-of-mistaken-identity-metastatic-hepatocellular-carcinoma-to-the-nose/hepatocellularcarcinomanoseliverplasticsurgerymetastases |
| spellingShingle | GK Lee HP Lorenz SV Mohan A Rare Case of Mistaken Identity: Metastatic Hepatocellular Carcinoma to the Nose Journal of Surgical Case Reports hepatocellular carcinoma nose liver plastic surgery metastases |
| title | A Rare Case of Mistaken Identity: Metastatic Hepatocellular Carcinoma to the Nose |
| title_full | A Rare Case of Mistaken Identity: Metastatic Hepatocellular Carcinoma to the Nose |
| title_fullStr | A Rare Case of Mistaken Identity: Metastatic Hepatocellular Carcinoma to the Nose |
| title_full_unstemmed | A Rare Case of Mistaken Identity: Metastatic Hepatocellular Carcinoma to the Nose |
| title_short | A Rare Case of Mistaken Identity: Metastatic Hepatocellular Carcinoma to the Nose |
| title_sort | rare case of mistaken identity metastatic hepatocellular carcinoma to the nose |
| topic | hepatocellular carcinoma nose liver plastic surgery metastases |
| url | http://jscr.co.uk/2010/06/hepatobiliary-surgery/a-rare-case-of-mistaken-identity-metastatic-hepatocellular-carcinoma-to-the-nose/ |
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