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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2021; 42(04): 390-393
DOI: 10.1055/s-0041-1736679
Case Report with Review of Literature

A Rare Occurrence of Scalp Metastasis in Hepatocellular Carcinoma: Case Report

Samreen Javed Chaudry
1   Department of Clinical & Radiation Oncology, Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan
,
Fajar Rafi Ranjha
1   Department of Clinical & Radiation Oncology, Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan
,
Sumera Butt
1   Department of Clinical & Radiation Oncology, Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan
,
Samaha Nawaz
1   Department of Clinical & Radiation Oncology, Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan
› Author Affiliations Funding None.
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Abstract

Hepatocellular carcinoma (HCC) is the most prevalent primary liver malignancy and the fifth most common cancer worldwide. Extrahepatic spread in this type of cancer is most commonly seen in the lungs and lymph nodes and less commonly in the skeletal system. Skull metastases are exceedingly rare, with an incidence of 0.5 to 1.6% reported to date. We report a similar case of a middle-aged Asian male patient with parietal scalp swelling that was initially diagnosed as meningioma. Surgical resection was performed at a local facility. The abdominal computed tomography scan did not reveal any primary or metastatic lesion. After much deliberation, multiparametric magnetic resonance imaging was requested that showed multiple lesions in the liver. Metastatic scalp lesion should be considered a differential diagnosis in HCC regardless of liver symptoms.

Keywords

hepatocellular carcinoma - meningioma - scalp metastasis


Publication History

Article published online:
26 November 2021

© 2021. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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