The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Acrometastasis in the Right First Metatarsal Bone Caused by a Metastatic Hepatocellular Carcinoma

오른쪽 첫 번째 중족골로 전이된 간세포암 1예

  • Jin, Eun Hyo (Department of Internal Medicine, Seoul National University Hospital) ;
  • Lee, Myung Jin (Department of Internal Medicine, Seoul National University Hospital) ;
  • Chung, Kwang Hyun (Department of Internal Medicine, Seoul National University Hospital) ;
  • Cho, Yu Ri (Department of Internal Medicine, Seoul National University Hospital) ;
  • Yu, Su Jong (Department of Internal Medicine, Seoul National University Hospital) ;
  • Moon, Kyung Chul (Department of Pathology, Seoul National University College of Medicine) ;
  • Lee, Hyo-Suk (Department of Internal Medicine, Seoul National University Hospital)
  • 진은효 (서울대학교병원 내과) ;
  • 이명진 (서울대학교병원 내과) ;
  • 정광현 (서울대학교병원 내과) ;
  • 조유리 (서울대학교병원 내과) ;
  • 유수종 (서울대학교병원 내과) ;
  • 문경철 (서울대학교 의과대학 병리학교실) ;
  • 이효석 (서울대학교병원 내과)
  • Published : 2013.01.01
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Abstract

Metastases from hepatocellular carcinoma to the bones of the hands or feet are rare. They are usually a late manifestation of a disseminated tumor but may also be the primary manifestation of an occult cancer. Clinically, the metastasis may mimic benign tumors or non-neoplastic osteoarthritic conditions; thus, resulting in misdiagnosis and improper treatment. We report a case of acrometastasis to the right first metatarsal bone in a 70-year-old man with hepatocellular carcinoma.

간세포암이 사지 말단으로 전이되는 경우는 매우 드물며, 병변이 양성 종양이나 감염증과 비슷한 양상으로 오진되기도 한다. 일반적으로 악성 종양이 손, 발과 같은 말단 부위로 전이되는 경우는 드물며, 더욱이 간세포암이 발의 말단으로 전이된 증례는 보고된 바 없다. 본 연구자 등은 간세포암이 첫 번째 중족골에 국한된 종괴의 형태로 발견되어 수술 및 조직검사를 통해 간세포암의 뼈전이로 확진된 매우 드문 증례를 경험하였기에 보고하는 바이다.

Keywords

References

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