J Korean Neurosurg Soc.  1984 Sep;13(3):491-495.

Extirpated Intra- and Extracranial Metastasis of Hepatocellular Carcinoma: Case Report

Affiliations
  • 1Department of Neurosurgery, Hanyang University, School of Medicine, Seoul, Korea.

Abstract

A rare case of surgically extirpated intra- and extracranial metastasis of hepatocellular carcinoma is reported. This dumb-bell shaped tumor simulated malignant meningioma on computerized tomography brain scan and cerebral angiography. Removal of the mass was successfully achieved by external carotid ligation and CUSA dissection. We suggest that, when investigating patient with suspected cranial secondaries particulary if there is a bony involvement, serum alpha-fetoprotein and hepatic ultrasound should be carried out as screening procedures.

Keyword

Hepatocellular carcinoma; Dumb-bell shaped metastasis CUSA dissection; alpha-fetoprotein; Hepatic ultrasound

MeSH Terms

alpha-Fetoproteins
Brain
Carcinoma, Hepatocellular*
Cerebral Angiography
Humans
Ligation
Mass Screening
Meningioma
Neoplasm Metastasis*
Ultrasonography
alpha-Fetoproteins
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