Bone metastases from primary hepatocellular carcinoma simulating multiple myeloma.
A 65-year-old man presented with bone pains and anemia. Skull X-ray revealed multiple osteolytic lesions. The patient was evaluated for multiple myeloma but detailed workup revealed the diagnosis of primary hepatocellular carcinoma (HCC) with osteolytic bone metastases. Thus, bone metastases due to HCC, although rare, should be considered in patients presenting with bone pains due to osteolytic lesions.
Doval
Dinesh Chandra
DC
Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini Sector-5, Delhi 110085, India. dcdoval@yahoo.com
Bhatia
Komal
K
Vaid
Ashok Kumar
AK
Prabhash
Kumar
K
Jena
Amarnath
A
Hazarika
Digant
D
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000556:secondary* / Q000628:therapy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D009101:Multiple Myeloma / Q000175:diagnosis*; D009367:Neoplasm Staging; D010166:Palliative Care / Q000379:methods*; D018714:Radiotherapy, Adjuvant