title: Chest wall metastasis from hepatocellular carcinoma in the absence of a primary: An unusual presentation.
abstract: Metastatic hepatocellular carcinoma (HCC) has an aggressive course with a very poor outcome. The common hematogenous metastatic sites are the lungs, bones, and adrenal glands. The chest wall is an extremely rare site of metastasis from HCC. We report a rare presentation in a gentleman, where the chest wall metastasis kept progressing in spite of treatment, without any evidence of a detectable primary.
authors.affiliation: Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, India.
authors.forename: Kaustav
authors.initials: K
authors.lastname: Talapatra
authors.forename: Reena
authors.initials: R
authors.lastname: Engineer
authors.forename: Jai Prakash
authors.initials: JP
authors.lastname: Agarwal
authors.forename: Shilpa
authors.initials: S
authors.lastname: Vyas
authors.forename: Shyam Kishore
authors.initials: SK
authors.lastname: Shrivastava
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D019042:Muscle Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary*; D011859:Radiography; D035441:Thoracic Wall / Q000000981:diagnostic imaging / Q000473:pathology*