Amador Auxiliadora, Monforte Neus García, Bejarano Natalia, Martí Josep, Artigau Eva, Navarro Salvador, Fuster Josep
Hepato-Biliary-Pancreatic Surgery Unit, Hospital de Sabadell, Consorci Sanitari Parc Taulí, Catalonia, Barcelona, Spain.
J Hepatobiliary Pancreat Surg. 2007;14(3):328-30. doi: 10.1007/s00534-006-1141-1. Epub 2007 May 29.
Hepatocellular carcinoma (HCC) is a tumor whose incidence has been increasing in recent years. The occurrence of cutaneous metastases from HCC, as the first sign of onset, is very unusual. We report a case of cutaneous metastasis from HCC appearing as a shoulder abscess and being the first clinical sign of the disease. We also examined the few published cases, and the diagnosis, treatment, and survival rate for this disease. Metastases of HCC should be included in the differential diagnosis of growing lesions in unusual localizations. Biopsies are required to confirm the diagnosis. The diagnosis of HCC from a cutaneous lesion is very uncommon and is associated with a poor prognosis.
肝细胞癌（HCC）是一种近年来发病率不断上升的肿瘤。HCC发生皮肤转移作为首发症状非常罕见。我们报告了一例以肩部脓肿形式出现的HCC皮肤转移病例，这是该疾病的首个临床症状。我们还研究了少数已发表的病例，以及该疾病的诊断、治疗和生存率。HCC转移应纳入不寻常部位生长性病变的鉴别诊断中。需要进行活检以确诊。从皮肤病变诊断出HCC非常罕见，且预后较差。
