Skull metastasis of hepatocellular carcinoma in normal liver Case report

Main Article Content

A. Khelifa
I. Assoumane
Bachir S.
L. Berchiche
T. Bennafaa
A. Morsli

Abstract

Background: So far hepatocellular carcinoma (HCC) is the most common liver malignant tumour; it is rarely encountered on a healthy liver (9). The metastasis from HCC cancer are seen in lymph nodes (16%–40%) and lungs (34%–70%), (1,3,4,5,7,8), bone metastasis is unusual and some locations stay rare among them the skull (2,4,5). We report here a case of a patient operated in our department for skull metastasis. That patient was followed for hepatocellular carcinoma in digestive surgery department.


Case presentation: The patient is a 57 years old male presenting HCC on healthy liver, the patient was referred to our department by digestive surgery colleagues to manage a parietal subcutaneous mass; brain CT scans were performed objectified a calvarial osteolytic process. We remove the tumour and we put a cranioplasty using surgical cement, later the histological studies were in favour of secondary location of hepatocellular carcinoma.


Conclusion: Skull metastasis from hepatocellular carcinoma is rare, reporting such cases strengthen the idea of evoking HCC metastasis in the differential diagnosis of cranial subcutaneous mass.

Article Details

How to Cite
Khelifa, A., Assoumane, I., S., B., Berchiche, L., Bennafaa, T., & Morsli, A. (2019). Skull metastasis of hepatocellular carcinoma in normal liver. Romanian Neurosurgery, 33(4), 478-481. https://doi.org/10.33962/roneuro-2019-076
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Articles
Author Biographies

A. Khelifa

Neurosurgical Department of BEO University Hospital, Algiers, Algeria

I. Assoumane

National Hospital of Niamey, Niger

Bachir S.

Neurosurgical Department of Laghouat Hospital, Laghouat, Algeria

L. Berchiche

Neurosurgical Department of BEO University Hospital, Algiers, Algeria

T. Bennafaa

Neurosurgical Department of BEO University Hospital, Algiers, Algeria

A. Morsli

Neurosurgical Department of BEO University Hospital, Algiers, Algeria