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Case Reports

Metastatic Hepatocellular Carcinoma: Presentation in a Rare Site

Authors:

P. G. A. N. Jayathilaka ,

Colombo North Teaching Hospital, Ragama, LK
About P. G. A. N.
Department of Histopathology
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M. A. D. N. Munasinghe,

Colombo North Teaching Hospital, Ragama, LK
About M. A. D. N.
Department of Histopathology
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S. M. Fernandopulle

Colombo North Teaching Hospital, Ragama, LK
About S. M.
Department of Histopathology
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Abstract

Hepatocellular carcinoma (HCC) is a common malignancy showing extra-hepatic metastases in 30-50% of the patients at the time of diagnosis. However, Patients presenting with metastatic hepatocellular carcinoma are rare and soft tissue metastases in head and neck area are extremely rare.

 

We report a 54-year-old man presenting with hoarseness of voice and a neck lump. Radiological impression was of a laryngeal carcinoma with local infiltration. Fine Needle Aspiration Cytology (FNAC) revealed a neoplastic lesion, with the incisional biopsy confirming a metastatic hepatocellular carcinoma. A primary HCC was discovered subsequently. Although cytological features are those of HCC, this case highlights the diagnostic dilemma due to its rare metastatic location.
How to Cite: Jayathilaka, P.G.A.N., Munasinghe, M.A.D.N. and Fernandopulle, S.M., 2019. Metastatic Hepatocellular Carcinoma: Presentation in a Rare Site. Journal of Diagnostic Pathology, 14(1), pp.20–23. DOI: http://doi.org/10.4038/jdp.v14i1.7768
Published on 30 Jun 2019.
Peer Reviewed

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