[A case of metastatic hepatocellular carcinoma of the rib, treated by transcatheter arterial chemoembolization]

Korean J Hepatol. 2009 Sep;15(3):357-61. doi: 10.3350/kjhep.2009.15.3.357.
[Article in Korean]

Abstract

Bone is a common site of metastasis in patients with hepatocellular carcinoma (HCC). We report a rare case of rib metastasis from HCC treated by transcatheter arterial chemoembolization (TACE). A 55-year-old man with liver cirrhosis presented with right lower chest pain. The diagnosis was an HCC with a bone metastasis in the right eighth rib. Intra-arterial injections of doxorubicin mixed with Lipiodol and Gelfoam particles were instituted through the right eighth intercostal artery. Computed tomography and a Tc(99)-labeled scan performed 2 months after the third TACE revealed no viable HCC in the right eighth rib.

Publication types

  • Case Reports

MeSH terms

  • Bone Neoplasms / diagnostic imaging
  • Bone Neoplasms / secondary
  • Bone Neoplasms / therapy*
  • Carcinoma, Hepatocellular / diagnosis
  • Carcinoma, Hepatocellular / secondary
  • Carcinoma, Hepatocellular / therapy*
  • Chemoembolization, Therapeutic*
  • Doxorubicin / administration & dosage
  • Gelatin Sponge, Absorbable / administration & dosage
  • Hepatic Artery / pathology
  • Humans
  • Injections, Intra-Arterial
  • Iodized Oil / administration & dosage
  • Liver Cirrhosis / diagnosis
  • Liver Cirrhosis / pathology
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / pathology
  • Liver Neoplasms / therapy*
  • Male
  • Middle Aged
  • Radionuclide Imaging
  • Ribs* / diagnostic imaging
  • Tomography, X-Ray Computed

Substances

  • Iodized Oil
  • Doxorubicin