КАЛЬКАНЕАЛЬНАЯ ЛОКАЛИЗАЦИЯ ВНЕПЕЧЁНОЧНОЙ ГЕПАТОЦЕЛЛЮЛЯРНОЙ КАРЦИНОМЫ, ПРОЯВЛЯЮЩАЯСЯ ХРОНИЧЕСКОЙ БОЛЬЮ В ЗАДНЕМ ОТДЕЛЕ СТОПЫ

Translated title of the contribution: Calcaneal localization of extrahepatic hepatocellular carcinoma presented with chronic hindfoot pain

G. Lastella, E. Avola, A. Esposito

Research output: Contribution to journalArticlepeer-review

Abstract

H epatocellular carcinoma (HCC) metastasizes mainly in the liver through portal vein, only few patients report metastases in distant organs and bone is considered a rare site of HCC metastases. We report the case of a man with HCC, who presented with chronic right hindfoot pain, in which bone scintigraphy and computed tomography (CT) revealed a rare secondary calcaneus localization. Case description. A 58-year-old man with multi-treated HCC, during a hepatological followup, complained of chronic right hindfoot pain, unresponsive to analgesic therapy. The bone scintigraphy shows focal hypercaptations in the right calcaneus and, less evidently, in the right tibia. CT showed multiple focal solid enhancing nodules in the tibial bone marrow, and a 3,5-cm solid enhancing nodule in the calcaneal body, with cortical interruption and invasion of adjacent soft tissues. HCC calcaneal metastasis was confirmed through a biopsy. Conclusion. In a patient with HCC and chronic hindfoot pain, with increase of alpha-fetoprotein levels, the possibility of a distant metastasis should be taken in account, as in our case, even though it is a rare cause.

Translated title of the contributionCalcaneal localization of extrahepatic hepatocellular carcinoma presented with chronic hindfoot pain
Original languageRussian
Pages (from-to)238-242
Number of pages5
JournalRussian Electronic Journal of Radiology
Volume11
Issue number2
DOIs
Publication statusPublished - 2021

Keywords

  • Bone neoplasms
  • Carcinoma
  • Hepatocellular
  • Liver neoplasms
  • Neoplasm metastasis
  • Radionuclide imaging
  • Tomography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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