["Sacroiliitis" as the initial manifestation of hepatocarcinoma].
The hepatocellular carcinomas rarely develop in absence of a previous hepatopathy and their first clinical manifestations are not related, in general, to the metastasis located at the bones of the pelvic girdle. We present a multifocal hepatocarcinoma in a 17-year-old woman without known risk factors, whose initial manifestation was a clinical radiological picture suggesting left sacroiliitis. We stress this rare manifestation preceding the diagnosis of neoplasia two years later.
Unidad de Reumatología, Hospital Juan Canalejo, La Coruña.
P
P
Alvarez
N
N
Gómez Rodríguez
M
M
Freire González
C
C
García Porrúa
M D
MD
Menéndez
J
J
Sánchez Bursón
D000293:Adolescent; D001168:Arthritis / Q000175:diagnosis* / Q000209:etiology; D001707:Biopsy, Needle; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis*; D010384:Pelvic Bones; D012446:Sacroiliac Joint