title: Right cervical lymphadenopathy: a rare presentation of metastatic hepatocellular carcinoma.
abstract: Hepatocellular carcinoma (HCC) is the most common, malignant tumor of the liver. Hepatocellular carcinoma (HCC) commonly metastasizes to the lungs, abdominal lymph nodes, adrenal glands, or bones. Distant lymph node metastases are rare in hepatocellular carcinoma. A 49-year-old male patient presented with right sided neck mass. On examination there was right cervical lymphadenopathy and hepatomegaly. Excisional cervical lymph node biopsy showed metastatic carcinoma. However, further examination of the biopsy specimen for immuno-histochemistry markers, shows positivity for HepPar-1 & CD-10 suggestive of hepatocellular carcinoma. Considering the high incidence of HCC in Asia, a special attention should be given to such unusual site of presentation and metastasis of HCC; therefore, not to miss the diagnosis.
authors.affiliation: Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.
authors.forename: Irappa
authors.initials: I
authors.lastname: Madabhavi
authors.affiliation: Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.
authors.forename: Apurva
authors.initials: A
authors.lastname: Patel
authors.affiliation: Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.
authors.forename: Mukesh
authors.initials: M
authors.lastname: Choudhary
authors.affiliation: Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.
authors.forename: Asha
authors.initials: A
authors.lastname: Anand
authors.affiliation: Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.
authors.forename: Harsha
authors.initials: H
authors.lastname: Panchal
authors.affiliation: Department of Medical and Pediatric Oncology, GCRI, Ahmedabad, Gujarat, India.
authors.forename: Sonia
authors.initials: S
authors.lastname: Parikh
keywords: Cervical lymphadenopathy; Hepatocellular carcinoma; Metastatic