An unusual cause of back pain.
This case describes what may become an increasingly common clinical problem in Australia as the proportion of our population originally derived from South East Asia, ages. Our patient was of Chinese origin and presented with back pain which was eventually found to be due to metastatic disease from an otherwise silent hepatoma, in association with unrecognised chronic hepatitis B infection.
D000368:Aged; D001315:Australia; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D019694:Hepatitis B, Chronic / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology*; D009192:Myelography; D014057:Tomography, X-Ray Computed