title: Cervical mass as the presenting manifestation of hepatocellular carcinoma.
abstract: BACKGROUND
  Hepatocellular carcinoma is one of the most common cancers in the world due to its association with chronic hepatitis infections. Amongst the most usual metastasis of hepatocellular carcinoma are the lymph nodes, the lungs and the bones. Soft tissue metastases are extremely rare.
  
  
  METHODS
  Herein, we report the case of a 73-years-old male patient who presented with cervical and upper extremities muscle pain along with paresthesias and a palpable mass on the cervical region.
  
  
  CONCLUSIONS
  This unusual clinical manifestation along with the above-described rare presentations of hepatocellular carcinoma must be taken into account, especially among patients with chronic hepatitis infections. Hippokratia 2014; 18 (3): 285-287.
authors.affiliation: Evangelismos General Hospital, Department of Internal Medicine, Athens, Greece.
authors.forename: Ng
authors.initials: N
authors.lastname: Vallianou
authors.affiliation: Evangelismos General Hospital, Department of Internal Medicine, Athens, Greece.
authors.forename: P
authors.initials: P
authors.lastname: Gounari
authors.affiliation: Evangelismos General Hospital, Department of Internal Medicine, Athens, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Skourtis
authors.affiliation: Evangelismos General Hospital, Department of Internal Medicine, Athens, Greece.
authors.forename: C
authors.initials: C
authors.lastname: Vourlakou
keywords: Hepatocellular carcinoma; cervical metastasis; soft tissue metastasis