title: Mandibular metastatic hepatocellular carcinoma: a case involving severe postbiopsy hemorrhage.
abstract: OBJECTIVE
  To highlight the hemorrhagic character of metastatic hepatocellular carcinoma.
  
  
  METHODS
  A case report of a patient with mandibular metastatic hepatocellular carcinoma, who had severe postbiopsy hemorrhagic episodes, and literature review is presented.
  
  
  CONCLUSIONS
  Mandibular metastatic hepatocellular carcinoma is a hemorrhagic tumor because of its hypervascular nature. Any rapidly enlarging swelling with ill-defined mandibular destruction suggestive of malignancy should be considered for metastatic hepatocellular carcinoma. Only a needle biopsy should be attempted in view of the hemorrhagic nature of the tumor. Palliative radiotherapy can be useful for the control of local expansile symptoms of the tumor and because of its possible role in the prevention of hemorrhage.
authors.affiliation: Tawam Hospital, Ministry of Health, Abu Dhabi, United Arab Emirates.
authors.forename: A
authors.initials: A
authors.lastname: Ashar
authors.forename: S M
authors.initials: SM
authors.lastname: Khateery
authors.forename: A
authors.initials: A
authors.lastname: Kovacs
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy / Q000009:adverse effects; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000532:radiotherapy / Q000556:secondary*; D006489:Hemostatic Techniques; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D008297:Male; D008339:Mandibular Neoplasms / Q000150:complications* / Q000532:radiotherapy / Q000556:secondary*; D006472:Oral Hemorrhage / Q000209:etiology*