title: [Case of hepatocellular carcinoma with abdominis muscle metastasis].
abstract: A 73-year-old man with liver cirrhosis type C, who was diagnosed as having hepatocellular carcinoma (HCC), underwent left lobectomy in March 2005. Two years later, intrahepatic recurrence was found, and he was treated with transcatheter arterial chemoembolization as well as hepatic arterial infusion. In July 2007, he complained of a painless mass over the right abdomen and demonstrated an elevated serum alpha-fetoprotein level. Computed tomography demonstrated a 3.0 cm lesion in the rectus muscle of the abdomen, which was histologically diagnosed as an intramuscular metastasis of HCC. Because there was no history of percutaneous abdominal procedures in this patient, it was suggested that this tumor had hematogeneously metastasized to the rectus muscle of the abdomen.
authors.affiliation: Department of Internal Medicine, Shobara Red Cross Hospital, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ono
authors.forename: Koji
authors.initials: K
authors.lastname: Kamada
authors.forename: Takayuki
authors.initials: T
authors.lastname: Fukuhara
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Boda
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Higashi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ueda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Hattori
authors.forename: Kouichirou
authors.initials: K
authors.lastname: Nakajima
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Miyata
authors.forename: Takahiko
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Toshio
authors.initials: T
authors.lastname: Nakanishi
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000628:therapy; D008175:Lung Neoplasms / Q000556:secondary / Q000628:therapy; D008297:Male; D019042:Muscle Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D017568:Rectus Abdominis