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 Tc(99)-labeled scan performed 2 months after the third TACE revealed no viable HCC in the right eighth rib.
MeSH terms
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Bone Neoplasms / diagnostic imaging
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Bone Neoplasms / secondary
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Bone Neoplasms / therapy*
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Carcinoma, Hepatocellular / diagnosis
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Carcinoma, Hepatocellular / secondary
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Carcinoma, Hepatocellular / therapy*
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Chemoembolization, Therapeutic*
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Doxorubicin / administration & dosage
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Gelatin Sponge, Absorbable / administration & dosage
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Hepatic Artery / pathology
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Humans
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Injections, Intra-Arterial
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Iodized Oil / administration & dosage
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Liver Cirrhosis / diagnosis
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Liver Cirrhosis / pathology
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Liver Neoplasms / diagnosis
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Liver Neoplasms / pathology
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Liver Neoplasms / therapy*
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Male
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Middle Aged
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Radionuclide Imaging
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Ribs* / diagnostic imaging
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Tomography, X-Ray Computed