A case of giant hematogenous left quadricep muscle metastasis of hepatocellular carcinoma

Yutaka Nakano, Eisuke Booka, Koki Mihara, Ryo Nishiyama, Shin Nishiya, Shintaro Shibutani, Tomohisa Egawa

Research output: Contribution to journalArticle

Abstract

The patient was a 62-year-old man with no specific medical history. Lateral segmentectomy was performed for hepatocellular carcinoma with a tumor size of approximately 14×13 cm. The histopathological diagnosis was moderately differentiated hepatocellular carcinoma: Fc (-), Fc-lnf (-), Sf (-), SO, NO, Vp2, Vv1, VaO, BO, PO, SM (-), CH. Five years after the first surgery, computed tomography (CT) revealed a left lung tumor in segment 9/10 and left lymph nodes; thus, left pneumonectomy was performed, and these tumors were identified to have metastasized from the primary tumor. Six years after the first surgery, his serum alpha-fetoprotein level was remarkably elevated from 254.9 ng/mL to 3,143.0 ng/mL for three months, and at the same time, he developed left meralgia and swelling of the left femur. Magnetic resonance imaging showed a high-density mass (30×14 cm) in the left quadriceps, and positron emission tomography-CT revealed high uptake in the left quadriceps with a maximum standardized uptake value of 12.3. A needle biopsy of the left femur tumor confirmed metastasis from the primary tumor. Radiotherapy was administered because general anesthesia can prove to be hazardous due to the patient having undergone left pneumonectomy.

Original languageEnglish
Pages (from-to)925-928
Number of pages4
JournalJapanese Journal of Cancer and Chemotherapy
Volume46
Issue number5
Publication statusPublished - 2019 May

Keywords

  • Hepatocellular carcinoma
  • Quadricep muscle metastasis

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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  • Cite this

    Nakano, Y., Booka, E., Mihara, K., Nishiyama, R., Nishiya, S., Shibutani, S., & Egawa, T. (2019). A case of giant hematogenous left quadricep muscle metastasis of hepatocellular carcinoma. Japanese Journal of Cancer and Chemotherapy, 46(5), 925-928.