Scapular metastasis of hepatocellular carcinoma presenting as acute bleeding and hematoma: A case report of safe and effective treatment.

Abstract:

RATIONALE:The occurrence of bleeding and hematoma from bone metastasis of hepatocellular carcinoma (HCC) is extremely rare. PATIENT CONCERNS:We present a case of scapular metastasis of HCC in a 69-year-old man who presented with acute bleeding and hematoma. DIAGNOSES:Chest computed tomography showed a large hematoma within the right pectoral muscle of the right upper chest and an exophytic metastatic mass in the right scapula with bony destruction, which caused the intramuscular hematoma. The final diagnosis was scapular metastasis of HCC presenting as acute bleeding and hematoma. INTERVENTIONS:Selective right subclavian angiography showed a hypervascular metastatic lesion in the right scapula. Subsequently, embolization of the tumoral feeding artery using a microcoil was performed and tumoral bleeding was stopped. OUTCOMES:The patient was discharged on hospital day 14 without any complications. LESSONS:Despite being extremely rare, the possibility of bleeding from bone metastasis of HCC needs to be considered. Transcatheter arterial embolization may be an effective means to treat bleeding from bone metastasis of HCC.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Kim KH,Oh HH,Son DJ,Hong JY,Jeong YH,Jung JS,Yu HM,Myung DS,Cho SB,Lee WS,Kim JW,Joo YE

doi

10.1097/MD.0000000000008736

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

e8736

issue

46

eissn

0025-7974

issn

1536-5964

pii

00005792-201711170-00084

journal_volume

96

pub_type

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