Liu Xiaojie, Liu Yanshan, Sun Jian, Li Ningyi, Fan Cunhui, Chen Liqiang
Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
School of Stomatology of Qingdao University, Qingdao, Shandong, China.
Front Oncol. 2023 Jan 11;12:1085543. doi: 10.3389/fonc.2022.1085543. eCollection 2022.
Patients with hepatocellular carcinoma are often affected by metastases, but condylar metastasis is particularly rare.
A 51-year-old man with a history of hepatocellular carcinoma requested treatment for facial pain. Computed tomography indicated that the condylar bone has been destroyed and fractured. Pathology confirmed condylar metastasis from hepatocellular carcinoma. Complete metastasectomy and condylar reconstruction were performed to preserve his facial appearance. No local recurrence or distant metastasis was found at 8 months of follow-up.
The condyle can be a metastatic site of hepatocellular carcinoma, regardless of its rarity. Long-term comprehensive surveillance and follow-up are needed for patients with hepatocellular carcinoma. The presence of solitary mass does exclude the possibility of metastatic cancer for these patients, and postoperative imaging and pathological diagnosis are important to determine its origin. If patients' physical condition permits, the mass can be completely excised, and the physiological function can be restored and reconstructed.
肝细胞癌患者常受转移影响，但髁突转移尤为罕见。
一名有肝细胞癌病史的51岁男性因面部疼痛前来就诊。计算机断层扫描显示髁突骨已被破坏并骨折。病理证实为肝细胞癌髁突转移。进行了完整的转移灶切除术和髁突重建以保留其面部外观。随访8个月时未发现局部复发或远处转移。
髁突可成为肝细胞癌的转移部位，尽管其罕见。肝细胞癌患者需要长期的综合监测和随访。孤立肿块的存在并不能排除这些患者发生转移性癌症的可能性，术后影像学和病理诊断对于确定其来源很重要。如果患者身体状况允许，可将肿块完全切除，并恢复和重建生理功能。
