Open AccessSpermatic Cord and Peritoneal Metastases from Unruptured Hepatocellular Carcinoma
Author(s) -
Udit Chauhan
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/13115.6650
Subject(s) - medicine , spermatic cord , hepatocellular carcinoma , inguinal hernia , metastasis , stage (stratigraphy) , lymph , hernia , general surgery , carcinoma , inguinal lymph nodes , radiology , surgery , pathology , cancer , paleontology , biology
Extrahepatic metastases are not uncommon in patients with late-stage hepatocellular carcinoma (HCC). These extrahepatic lesions are most commonly found in the lungs, lymph nodes and bones. The authors report the case of a patient with chronic liver disease who presented with left inguinal swelling which was thought to be incarcerated hernia on clinical examination. Further evaluation revealed that the patient had HCC with spermatic cord metastasis which was masquerading as inguinal hernia. He also had extensive peritoneal dissemination. Awareness and accurate detection of these unusual sites of extrahepatic dissemination of HCC is of paramount importance for radiologists to avoid unnecessary surgery as well as after loco regional therapy to assess for recurrence. Details of the case are discussed with a review of the relevant literature.