The Korean Journal of Hepatology  2009;15(3):357-361

doi:10.3350/kjhep.2009.15.3.357

A case of metastatic hepatocellular carcinoma of the rib, treated by transcatheter arterial chemoembolization.

Young Kul JUNG 1 ; Jong Eun YEON ; Chung Ho KIM ; Hyun Jung LEE ; Young Sun LEE ; Eileen L YOON ; Jung Eun SUCK ; Jong Hwan CHOI ; Ji Hoon KIM ; Kwan Soo BYUN

Affiliations

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Keywords

Rib metastasis; Hepatocellular carcinoma; Transcatheter arterial chemoembolization

Country

Republic of Korea

Language

Korean

Abstract

Bone is a common site of metastasis in patients with hepatocellular carcinoma (HCC). We report a rare case of rib metastasis from HCC treated by transcatheter arterial chemoembolization (TACE). A 55-year-old man with liver cirrhosis presented with right lower chest pain. The diagnosis was an HCC with a bone metastasis in the right eighth rib. Intra-arterial injections of doxorubicin mixed with Lipiodol and Gelfoam particles were instituted through the right eighth intercostal artery. Computed tomography and a Tc99-labeled scan performed 2 months after the third TACE revealed no viable HCC in the right eighth rib.