Korean J Hepatol.  2002 Jun;8(2):218-222.

A Case of Primary Hepatocellular Carcinoma with Metastasis to The Spinal Cord

• Cho KB
• Sohn JH
• Park KS
• Kwon DY
• Lee YS
• Hwang JS
• Hur JW
• Ahn SH
• Park SK

Abstract

Hepatocellular carcinoma is one of the most common malignancies reported in Korean adult males. Hepatocellular carcinoma usually spreads to regional lymph nodes around porta hepatis via lymphatics and to distant metastasis via hematogenous spread. The lung is most common distant metastatic site, followed by the adrenal glands, local lymph nodes and bones. But metastasis to the spinal cord of hepatocellular carcinoma is very rare. Recently we experienced a patient with hepatocellular carcinoma who had suffered from lower leg weakness for 10 days. The patient was proved to have hepatocellular carcinoma with metastasis to the spinal cord. MRI showed an ovoid intracordal mass between the twelfth thoracic and first lumbar vertebra level. After emergency irradiation, the patient could recover.

Keyword

Hepatocellular carcinoma; Metastasis; Spinal cord

MeSH Terms

Carcinoma, Hepatocellular/*secondary
English Abstract
Human
Liver Neoplasms/*pathology
Magnetic Resonance Imaging
Male
Middle Aged
Spinal Cord Neoplasms/diagnosis/*secondary