title: Hepatocellular carcinoma presenting as bone pain.
abstract: Hepatocellular carcinoma is an uncommon malignancy in the western world, and its presentation as symptomatic skeletal metastasis is rare. The following describes a patient whose initial complaint was arm pain that was subsequently found to be due to metastatic hepatocellular carcinoma. A review of the literature describing skeletal involvement by hepatocellular carcinoma is included.
mesh_terms: D001132:Arm; D001859:Bone Neoplasms / Q000556:secondary*; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000556:secondary*; D006801:Humans; D006811:Humerus; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology