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KMID : 0363219960340061034
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Korean Journal of Dermatology
1996 Volume.34 No. 6 p.1034 ~ p.1038
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Two Cases of Hepatoma with Cutaneous Metastases
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김조용
이동원/정은석/이교영/조백기
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Abstract
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Skin metastases from internal cancers are unusual; from a hepatoma they age extremely rare. The most common clinical presentation are solitary or multiple nodules that have appeared in one area of the body. Other forms include inflammatcry and
sclerodermoid metanstatic growths.
Case one was a 54-year-old male who had had partial hepatectomy of the right lobe of his liver following diagnosis of hepatocellular carcinoma five years ago. He presented with a 10 month history of a solitary nodule on the chin.
Another case was a 46-year-old male, who had developed hepatocellular carcinoma forming a large subcutaneous mass by hematogenous metastasis of the left zygomatic bone, masseter muscle and subcutaneous fat. Additional metastases were observed in
the
portal vein and multipel bones including the right shoulder, the lst, 2nd, 3rd sacral spine and the right 3rd, 7th rib.
In view of the clinical and histopathollogic findings both skin tumors were considered to originate from the liver.
The skin metastases may be indicative of progression by the primary tumor and also the first indication that a malignant tumor has not been eradicated.
(Kor J Dermatol 1996;34(6) : 1034~1038)
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