Bone metastasis
First manifestation of a hepatoma
Keywords:
liver, tumors, metastasesAbstract
In a case of hepatoma, the patient's first symptom was the presence of a voluminous costal tumor and biopsy showed that it was metastatic. Complementary tests indicated a hypervascular hepatoma with associated segmentary portal vein thrombosis, located in a parenchyma which seemed laparoscopically normal. Biopsy of primary tumor showed its histoarchitecture to be similar to that of metastases.
A study of bibliography shows its raré occurrence and, when diagnosed, rapidly fatal evolution.
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