title: Bone metastases from primary hepatocellular carcinoma simulating multiple myeloma.
abstract: 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.
authors.affiliation: Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini Sector-5, Delhi 110085, India. dcdoval@yahoo.com
authors.forename: Dinesh Chandra
authors.initials: DC
authors.lastname: Doval
authors.forename: Komal
authors.initials: K
authors.lastname: Bhatia
authors.forename: Ashok Kumar
authors.initials: AK
authors.lastname: Vaid
authors.forename: Kumar
authors.initials: K
authors.lastname: Prabhash
authors.forename: Amarnath
authors.initials: A
authors.lastname: Jena
authors.forename: Digant
authors.initials: D
authors.lastname: Hazarika
mesh_terms: 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