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 UNUSUAL CASE
Year : 2018  |  Volume : 14  |  Issue : 1  |  Page : 74-75

Late solitary pelvic metastasis of hepatocellular carcinoma mimicking alpha-fetoprotein-producing gynaecologic tumour


1 Gynecologic Cancer Center, School of Medicine, Kyungpook National University Medical Center, Daegu, Korea
2 Department of Surgery, School of Medicine, Kyungpook National University Medical Center, Daegu, Korea

Correspondence Address:
Prof. Gun Oh Chong
Gynecologic Cancer Center, School of Medicine, Kyungpook National University Medical Center, 807 Hogukno, Buk-Gu, Daegu 700-720
Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_48_17

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Extrahepatic spread of hepatocellular carcinoma (HCC) is uncommon; and, pelvic metastasis, in particular, is extremely rare. A 71-year-old woman was admitted for evaluation of pelvic solitary solid mass. She had undergone a left lobectomy 28 years previously. Magnetic resonance imaging of the abdomen and pelvis demonstrated a heterogeneous mass in the right pelvic cavity, whereas no space-occupying lesions or ascites were detected in the liver. CA 125 levels were within normal limits; however, serum alpha-fetoprotein levels were markedly elevated. She underwent laparoscopic pelvic mass excision, total hysterectomy, and bilateral salpingo-oophorectomy. Histopathologic findings and immunochemical staining results indicated metastatic HCC. Herein, we report an unusual case of a patient with solitary recurrence in the pelvic cavity 28 years after initial diagnosis and treatment.






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