Korean J Hepatol.  2009 Sep;15(3):357-361. 10.3350/kjhep.2009.15.3.357.

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

• Jung YK
• Yeon JE
• Kim CH
• Lee HJ
• Lee YS
• Yoon EL
• Suck JE
• Choi JH
• Kim JH
• Byun KS

• KMID: 1374964
• DOI: http://doi.org/10.3350/kjhep.2009.15.3.357

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 Tc99-labeled scan performed 2 months after the third TACE revealed no viable HCC in the right eighth rib.

Keyword

Rib metastasis; Hepatocellular carcinoma; Transcatheter arterial chemoembolization

MeSH Terms

Bone Neoplasms/radiography/secondary/*therapy
Carcinoma, Hepatocellular/diagnosis/secondary/*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/pathology
Liver Neoplasms/diagnosis/pathology/*therapy
Male
Middle Aged
*Ribs/radiography/radionuclide imaging
Tomography, X-Ray Computed