Jung Young Kul, Yeon Jong Eun, Kim Chung Ho, Lee Hyun Jung, Lee Young Sun, Yoon Eileen L, Suck Jung Eun, Choi Jong Hwan, Kim Ji Hoon, Byun Kwan Soo
Department of Internal Medicine, Korea University of Medical College Guro Hospital, Seoul, Korea.
Korean J Hepatol. 2009 Sep;15(3):357-61. doi: 10.3350/kjhep.2009.15.3.357.
Bone is a common site of metastasis in patients with hepatocellular carcinoma (HCC). We report a rare case of rib metastasis from HCC treated by transcatheter arterial chemoembolization (TACE). A 55-year-old man with liver cirrhosis presented with right lower chest pain. The diagnosis was an HCC with a bone metastasis in the right eighth rib. Intra-arterial injections of doxorubicin mixed with Lipiodol and Gelfoam particles were instituted through the right eighth intercostal artery. Computed tomography and a Tc(99)-labeled scan performed 2 months after the third TACE revealed no viable HCC in the right eighth rib.