title: An unusual recurrence site for HCC!
abstract: BACKGROUND
  Hepatocellular carcinoma (HCC) is the first malignant hepatic tumor in frequency, with an incidence of 10 new cases per 100,000 people a year, in France. HCC metastasis disseminate hematogenously. The most frequent metastatic sites are lungs, bones, and liver.
  
  
  METHODS
  We detail the approach to diagnosis and the treatment of a patient with an unusual late recurrence of HCC, which was discovered fortuitously. The metastasis was located in the subcutaneous tissue of the right gluteal fold.
  
  
  CONCLUSIONS
  This case poses a problem of detection in the clinical practice. Indeed, the recurrence occurred 9 years after the HCC. Molecular analysis of our case could make us progress in our knowledge of this disease, and to associate it to a patient's group with similar HCC evolutive profile.
authors: Digestive oncology department, European hospital Georges-Pompidou, AH-PH, Paris, France. ed.auclin@gmail.com
authors: Edouard
authors: E
authors: Auclin
authors: Cécile
authors: C
authors: Camiliéri
authors: Olivier
authors: O
authors: Dubreuil
authors: Céline
authors: C
authors: Lepère
authors: Aziz
authors: A
authors: Zannan
authors: Philippe
authors: P
authors: Rougier
authors: Julien
authors: J
authors: Taieb
mesh_terms: D000368:Aged; D002081:Buttocks; D006528:Carcinoma, Hepatocellular / Q000556:secondary*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D012983:Soft Tissue Neoplasms / Q000556:secondary*; D013997:Time Factors