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Right cervical lymphadenopathy: a rare presentation of metastatic hepatocellular carcinoma.

Madabhavi I, Patel A, Choudhary M, Anand A, Panchal H, Parikh S - Gastroenterol Hepatol Bed Bench (2014)

Bottom Line: A 49-year-old male patient presented with right sided neck mass.On examination there was right cervical lymphadenopathy and hepatomegaly.Considering the high incidence of HCC in Asia, a special attention should be given to such unusual site of presentation and metastasis of HCC; therefore, not to miss the diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.

ABSTRACT
Hepatocellular carcinoma (HCC) is the most common, malignant tumor of the liver. Hepatocellular carcinoma (HCC) commonly metastasizes to the lungs, abdominal lymph nodes, adrenal glands, or bones. Distant lymph node metastases are rare in hepatocellular carcinoma. A 49-year-old male patient presented with right sided neck mass. On examination there was right cervical lymphadenopathy and hepatomegaly. Excisional cervical lymph node biopsy showed metastatic carcinoma. However, further examination of the biopsy specimen for immuno-histochemistry markers, shows positivity for HepPar-1 & CD-10 suggestive of hepatocellular carcinoma. Considering the high incidence of HCC in Asia, a special attention should be given to such unusual site of presentation and metastasis of HCC; therefore, not to miss the diagnosis.

No MeSH data available.


Related in: MedlinePlus

Abdomen CT showing heterogeneous echo texture lesions in right lobe of liver, measuring 83.8 x 84.6 mm in size.
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OGPQiK749.fig2: Abdomen CT showing heterogeneous echo texture lesions in right lobe of liver, measuring 83.8 x 84.6 mm in size.

Mentions: Computerized tomography (CT) scan examination of neck was revealed presence of 3x4x4.2 cm size heterogeneous echo texture lesion in right level II and III. Abdominal CT scan shows hepatomegaly measuring about 17 cm in span and shows multiple heterogeneous echo texture lesions in both lobes of liver, largest measuring 83.8x84.6 mm in size (Figure 2) and multiple hypo echoic nodes noted in periportal, peripancreatic, celiac, paraaortic and iliac region.


Right cervical lymphadenopathy: a rare presentation of metastatic hepatocellular carcinoma.

Madabhavi I, Patel A, Choudhary M, Anand A, Panchal H, Parikh S - Gastroenterol Hepatol Bed Bench (2014)

Abdomen CT showing heterogeneous echo texture lesions in right lobe of liver, measuring 83.8 x 84.6 mm in size.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4129570&req=5

OGPQiK749.fig2: Abdomen CT showing heterogeneous echo texture lesions in right lobe of liver, measuring 83.8 x 84.6 mm in size.
Mentions: Computerized tomography (CT) scan examination of neck was revealed presence of 3x4x4.2 cm size heterogeneous echo texture lesion in right level II and III. Abdominal CT scan shows hepatomegaly measuring about 17 cm in span and shows multiple heterogeneous echo texture lesions in both lobes of liver, largest measuring 83.8x84.6 mm in size (Figure 2) and multiple hypo echoic nodes noted in periportal, peripancreatic, celiac, paraaortic and iliac region.

Bottom Line: A 49-year-old male patient presented with right sided neck mass.On examination there was right cervical lymphadenopathy and hepatomegaly.Considering the high incidence of HCC in Asia, a special attention should be given to such unusual site of presentation and metastasis of HCC; therefore, not to miss the diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.

ABSTRACT
Hepatocellular carcinoma (HCC) is the most common, malignant tumor of the liver. Hepatocellular carcinoma (HCC) commonly metastasizes to the lungs, abdominal lymph nodes, adrenal glands, or bones. Distant lymph node metastases are rare in hepatocellular carcinoma. A 49-year-old male patient presented with right sided neck mass. On examination there was right cervical lymphadenopathy and hepatomegaly. Excisional cervical lymph node biopsy showed metastatic carcinoma. However, further examination of the biopsy specimen for immuno-histochemistry markers, shows positivity for HepPar-1 & CD-10 suggestive of hepatocellular carcinoma. Considering the high incidence of HCC in Asia, a special attention should be given to such unusual site of presentation and metastasis of HCC; therefore, not to miss the diagnosis.

No MeSH data available.


Related in: MedlinePlus