두피전이를 주소로 내원한 간세포암환자 1례

Abstract

Cutaneous metastases from internal malignancies are relatively infrequent and the frequency varies from 0.7 to 4.4%. Cutaneous metastases from hepatocellular carcinomas(HCC) are rare. The lung, abdominal lymph nodes and bone are the most common sites of extrahepatic metastatic HCC. However we report a case of hepatocellular carcinoma with scalp metastatic nodule as initial presentation. The 53-year-old man presented with asymptomatic left parietal scalp nodule. He did not show any abnormal physical findings including neurological deficits. Pathological examination of the cutaneous nodules on the scalp showed characteristic hepatocellular carcinoma with trabecular gland formation. He received a combined chemotherapy with adriamycin and cisplatin. However, the hepatocellular carcinoma was more progressed and he expired 2.7 years after the diagnosis.