title: Primary manifestation of hepatocellular carcinoma as a cervical mass.
abstract: Metastasis of hepatocellular carcinoma to the head and neck region is unusual and its exact frequency is unknown. A 72-year-old male patient presented with a mass on the left side of the neck. Clinical examination showed multiple, painless, immobile lymphadenopathies in the cervical region. Computed tomography revealed both an irregular mass in the cervical region and hepatomegaly accompanied by a lobulated liver contour. The patient was diagnosed as having hepatocellular carcinoma following an excisional biopsy from the cervical mass and fine needle aspiration biopsy from the liver.
authors.affiliation: Department of Otolaryngology, Cerrahpaşa Medicine Faculty of Istanbul University, Istanbul, Turkey.
authors.forename: Emin
authors.initials: E
authors.lastname: Karaman
authors.forename: Harun
authors.initials: H
authors.lastname: Cansiz
authors.forename: Engin
authors.initials: E
authors.lastname: Acioğlu
authors.forename: Dilek
authors.initials: D
authors.lastname: Yilmazbayhan
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary; D003937:Diagnosis, Differential; D006258:Head and Neck Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D009362:Neoplasm Metastasis; D014057:Tomography, X-Ray Computed