Ninewells Hospital, NHS Tayside, Dundee, Scotland, UK.
Scott Med J. 2012 Nov;57(4):247. doi: 10.1258/smj.2012.012110. Epub 2012 Sep 21.
Digital acrometastases as a primary presentation of hepatocellular carcinoma (HCC) is rare. A 66-year-old man with no history of malignancy presented to the plastic surgery department with two skin lesions, one on the bridge of his nose and one on distal phalanx of left little finger. A working diagnosis of cutaneous metastases was made. Immediately prior to admission for excision of these lesions he was admitted with right upper quadrant pain and a jaundiced discolouration of the skin. The lesions were excised as planned and histopathological examination revealed metastatic HCC. A subsequent magnetic resonance imaging showed a lobulated mass consistent with primary HCC.
数字转移性骨肿瘤作为肝细胞癌（HCC）的首发表现较为罕见。一位 66 岁的男性，无恶性肿瘤病史，因两个皮肤病变就诊于整形外科，一个位于鼻梁，另一个位于左手小指远节。临床初步诊断为皮肤转移。在这些病变切除之前，他因右上腹疼痛和皮肤黄疸而入院。按计划切除了这些病变，组织病理学检查显示转移性 HCC。随后的磁共振成像显示符合原发性 HCC 的分叶状肿块。
