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Hepatocellular Carcinoma with Cutaneous Metastasis to Back : A Case Report

Sanghamitra Jena, Sarbajit Das, Indranil Das


Introduction: Hepatocellular carcinoma (HCC) is the most common primary tumour of the liver. It mostly metastasise to lungs, followed by abdominal lymph nodes and bones. However, cutaneous metastases of HCC are very rare, accounting for 0.2% to 2.7% of all cutaneous metastases. The most common location is the head (usually the face), followed by the chest, the abdomen, and the limbs, but metastasis to back is very uncommon.

Presentation of Case: A 63 year old man presented with history of mild fatigue and right upper abdominal pain for two months and a swelling in the back for 15 days. He was diagnosed with hepatocellular carcinoma. With biopsy and immunohistochemistry, it was confirmed that the swelling in the back was a cutaneous metastasis from hepatocellular carcinoma, which is very rare.

Conclusion: Because cutaneous metastases are a very uncommon manifestation of HCC and metastasis to back is even more rare, the present case should increase awareness of their existence.


Hepatocellular carcinoma; back; cutaneous; Metastasis

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