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离家万里：一例罕见的肝细胞癌头皮皮肤转移病例

A Long Way From Home: A Rare Case of Cutaneous Metastasis to the Scalp of Hepatocellular Carcinoma.

作者信息

Eggiman Evan, Dodia Paarth, Dewey Jesse, Munoz-Bishop Melissa, Overton Matthew

机构信息

Department of Dermatology, Campbell University's School of Medicine, Lillington, North Carolina, USA.

Department of Dermatology, Sampson Regional Medical Center, Clinton, North Carolina, USA.

出版信息

Case Rep Dermatol Med. 2024 Dec 20;2024:9965758. doi: 10.1155/crdm/9965758. eCollection 2024.

DOI:10.1155/crdm/9965758
PMID:39735834
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11679269/
Abstract

Cutaneous metastases of hepatocellular carcinoma (HCC) are uncommon but important to recognize for timely diagnosis and management. We present a case of a 70-year-old man with a history of HCC who developed a painless nodule on the scalp. Histopathological examination and immunohistochemistry confirmed the nodule as cutaneous metastasis of HCC. The patient had previously undergone transarterial chemoembolization and surgery for HCC, with no evidence of disease for a period before presenting with the cutaneous lesion. Cutaneous metastasis of HCC is rare but signifies advanced disease. This case underscores the importance of considering cutaneous manifestations in patients with a history of HCC and highlights the need for routine follow-up and early intervention to improve patient outcomes.

摘要

肝细胞癌（HCC）的皮肤转移并不常见，但对于及时诊断和治疗至关重要。我们报告一例70岁男性，有HCC病史，头皮出现无痛性结节。组织病理学检查和免疫组化证实该结节为HCC皮肤转移。该患者此前曾因HCC接受过经动脉化疗栓塞术和手术，在出现皮肤病变前一段时间无疾病证据。HCC皮肤转移罕见，但意味着疾病进展。该病例强调了对有HCC病史患者考虑皮肤表现的重要性，并突出了进行常规随访和早期干预以改善患者预后的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/8e642c1e2669/CRIDM2024-9965758.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/84e0f3d7367c/CRIDM2024-9965758.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/288f0c7e3d3a/CRIDM2024-9965758.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/40c9f7b5e4b4/CRIDM2024-9965758.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/8e642c1e2669/CRIDM2024-9965758.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/84e0f3d7367c/CRIDM2024-9965758.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/288f0c7e3d3a/CRIDM2024-9965758.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/40c9f7b5e4b4/CRIDM2024-9965758.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa18/11679269/8e642c1e2669/CRIDM2024-9965758.004.jpg

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Case Rep Dermatol Med. 2024 Dec 20;2024:9965758. doi: 10.1155/crdm/9965758. eCollection 2024.
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本文引用的文献

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Non-iatrogenic implantation of cutaneous metastasis from hepatocellular carcinoma.非医源性肝细胞癌皮肤转移瘤植入
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