A Case of Cutaneous Metastasis to the Scalp from
Hepatocellular Carcinoma

Keimyung Medical Journal 2004;23(2):129-134.

A Case of Cutaneous Metastasis to the Scalp from Hepatocellular Carcinoma

두피전이를 주소로 내원한 간세포암환자 1례

조주연; 성희진; 김용진; 김진영; 도영록; 송홍석

Abstract

Cutaneous metastases from internal malignancies are relatively infrequent and the frequency varies from 0.7 to 4.4%. Cutaneous metastases from hepatocellular carcinomas(HCC) are rare. The lung; abdominal lymph nodes and bone are the most common sites of extrahepatic metastatic HCC. However we report a case of hepatocellular carcinoma with scalp metastatic nodule as initial presentation. The 53-year-old man presented with asymptomatic left parietal scalp nodule. He did not show any abnormal physical findings including neurological deficits. Pathological examination of the cutaneous nodules on the scalp showed characteristic hepatocellular carcinoma with trabecular gland formation. He received a combined chemotherapy with adriamycin and cisplatin. However; the hepatocellular carcinoma was more progressed and he expired 2.7 years after the diagnosis.

Key Words: Hepatocellular carcinoma, Scalp metastasis