Intracranial Metastasis of Hepatocellular Carcinoma Associated with Epidural Hematoma: A Case Report.
- Author:
Kang Woon LEE
1
;
Dong Sup CHUNG
;
Pil Woo HUH
;
Yong Kil HONG
;
Hyung Kyun RHA
;
Joon Ki KANG
Author Information
1. Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Hepatocellular carcinoma;
Intracranial metastasis;
Venous metastasis
- MeSH:
Africa;
Carcinoma, Hepatocellular*;
Hematoma*;
Humans;
Liver;
Lung;
Lymph Nodes;
Neoplasm Metastasis*;
Postoperative Care;
Stomach;
Veins
- From:Journal of Korean Neurosurgical Society
1996;25(8):1738-1742
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intracranial metastasis of hepatocellular carcinoma have been rarely reported, even in the Orient and Africa where this carcinoma is one of the relatively common malignancies. Hepatocellular carcinomas usually spread to regional lymph nodes around the porta hepatis via lymphatics. But venous metastasis of this cacinoma can occur via intrahepatic vein. The lungs are the most common distant metastatic sites followed by stomach, bones, and adrenals. Recently, we experienced a case of intracranial metastasis of hepatocellular carcinoma associated with epidural hematoma. Although the epidural hematoma and the metastatic tumor mass were totally removed, the patient died of liver complications on the 9th day of postoperative care. The clinical and radiological details of this case are presented here with a brief review of the literature.