title: [A single metastasis in the carpal bones as the first clinical manifestation of a hepatocellular carcinoma].
abstract: Hepatocellular carcinoma is the most common primary tumor of the liver. Spreading outside the liver usually takes place in advanced stages of the disease, and bone is the third most common site of metastases. We present a case of hepatocellular carcinoma in which the first clinical manifestation was a single metastasis to the carpal bones. The interest of this case lies in the way this hepatocellular carcinoma manifested as well as in the unusual site of the metastasis.
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Universitario de Salamanca, Salamanca, España. Electronic address: ricardocorrales09@hotmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Corrales Pinzón
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Universitario de Salamanca, Salamanca, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Alonso Sánchez
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Universitario de Salamanca, Salamanca, España.
authors.forename: S
authors.initials: S
authors.lastname: de la Mano González
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Universitario de Salamanca, Salamanca, España.
authors.forename: K
authors.initials: K
authors.lastname: El Karzazi Tarazona
mesh_terms: D001859:Bone Neoplasms / Q000556:secondary*; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary*; D002348:Carpal Bones; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology*; D008297:Male; D008875:Middle Aged
keywords: Bone metastases; Carpal bones; Computed tomography; Huesos del carpo; Imagen por resonancia magnética; Magnetic resonance imaging; Metástasis óseas; Tomografía computarizada