Pancoast Tumor: A Rare presentation of Hepatocellular Carcinoma
DOI:
https://doi.org/10.21276/apalm.2226Keywords:
Pancoast tumor, Hepatocellular carcinoma, lungAbstract
Lung is the first most common site for metastasis of hepatocellular carcinoma. Pancoast’s tumor is usually caused by adenocarcinoma of lung. Hepatocellular carcinoma is very notorious in remaining asymptomatic for prolonged time. But metastatic Hepatocellular carcinoma presenting as apical lobe lung mass eroding the ribs (Pancoast’s tumor) is unusual.
We, describe here a 66year old male who presented with left shoulder pain which was subsequently diagnosed to be due to metastatic tumor of upper lobe lung from liver primary.
To our knowledge Pancoast’s syndrome due to metastatic hepatocellular carcinoma is rare and only two cases have been reported previously to the best of our knowledge. This case report will allow the clinicians to consider metastatic HCC as a differential for Pancoast’s tumor.
References
2.Katyal S, Oliver JH, Peterson MS, et al. Extrahepatic metastases of hepatocellular carcinoma. Radiology 200;216:698-703.
3.Arcasoy SM, Jett JR. Superior pulmonary sulcus tumors and Pancoast’s syndrome. N engl J Med 1997;337:1370-6.
4.Shih KL, Chen YY, Teng TH, Soon MS: Long term survival in a patient with repeated resections for lung metastasis after hepatectomy for ruptured hepatocellular carcinoma: a case report. J Med Case Reports 2008,2:222.
5.Honeybourne D: Lung metastases from a primary hepatocellular carcinoma. Thorax 1980,35:316-317.
6.Davis SD. CT Evaluation for pulmonary metastases in patients with extrathoracic malignancy. Radiology 1991;180:1-12.
7.Chao-Fu C, Wei-Juin S, The-Ying C et al. Hepatocellular Carcinoma with Pancoast’s Syndrome as an Initial Symptom: a Case Report. Jpn J Clin Oncol 2001;31(3)119-121.
8.Bosch FX, Ribes J, Cleries R, et al. Epidemiology of hepatocellular carcinoma. Clin Liver Dis2005;9:191-211.
9.Bruix J, Sherman M. Management of hepatocellular carcinoma: an update. Hepatology 2011;53:1020-2.
10.Annalisa K. Becker, David K Tso, Alison C Harris et al. Extrahepatic Metastases of Hepatocellular Carcinoma: A Spectrum of Imaging Findings. Canadian association of Radiologists Journal65(2014)60-66.
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