Abstract
Extrahepatic metastasis of hepatocellular carcinoma (HCC) is an indicator of a poor prognosis. The most common extrahepatic sites of metastatic HCC are the lungs, intra-abdominal organs, and bone. Metastasis of carcinoma from any site to skeletal muscle is rare, and to the best of our knowledge, the hematogenous spread of HCC to skeletal muscle has never been described before. We report a case of isolated metastasis in the left side of the psoas muscle, which was found 1 year after trisegmentectomy. The lesion was successfully resected with the muscle, and no other metastatic lesions have been found in 5 months of follow-up.
Similar content being viewed by others
References
EA Akriviadis JM Llovet SC Efremidis (1998) ArticleTitleHepatocellular carcinoma Br J Surg 85 1319–31 Occurrence Handle10.1046/j.1365-2168.1998.00865.x Occurrence Handle1:STN:280:DyaK1cvltlaksg%3D%3D Occurrence Handle9782009
S Katyal JH Oliver Suffix3rd MS Peterson JV Ferris BS Carr RL Baron (2000) ArticleTitleExtrahepatic metastases of hepatocellular carcinoma Radiology 216 698–703 Occurrence Handle1:STN:280:DC%2BD3cvktVantA%3D%3D Occurrence Handle10966697
S Bar-Yehuda F Barer L Volfsson P Fishman (2001) ArticleTitleResistance of muscle to tumor metastases: a role for a3 adenosine receptor agonists Neoplasia 3 125–31 Occurrence Handle10.1038/sj.neo.7900138 Occurrence Handle1:CAS:528:DC%2BD3MXjvVeqs78%3D Occurrence Handle11420748
C Luo Y Jiang Y Liu (2001) ArticleTitlePreliminary study on skeletal muscle derived tumor suppressor Zhonghua Zhong Liu Za Zhi 1 17–20
O Acinas Garcia FA Fernandez EG Satue JF Val-Bernal (1984) ArticleTitleMetastasis of malignant neoplasms to skeletal muscle Rev Esp Oncol 31 57–67 Occurrence Handle1:STN:280:BimD1MrmvFM%3D Occurrence Handle6545428
JB Kenny DJ Widdowson AT Carty CE Williams (1990) ArticleTitleMalignant involvement of the iliopsoas muscle: CT appearances Eur J Radio 10 183–7 Occurrence Handle1:STN:280:By%2BB1M3gsFQ%3D
WT Yap JP Richie (1980) ArticleTitleMetastases from transitional cell carcinoma of the bladder masquerading as psoas abscess J Urol 123 959–60 Occurrence Handle1:STN:280:Bi%2BB3cjhsVA%3D Occurrence Handle7382020
TJ Hopkins V Raducan N Sioutos A White (1993) ArticleTitleLumbar lymphoma presenting as psoas abscess/epidural mass with acute cauda equina syndrome Spine 18 774–8 Occurrence Handle1:STN:280:ByyB1Mnnt1Q%3D Occurrence Handle8516712
L Lenchik DJ Dovgan R Kier (1994) ArticleTitleCT of the iliopsoas compartment: value in differentiating tumor, abscess, and hematoma Am J Radiol 162 83–6 Occurrence Handle1:STN:280:ByuD1MbisFY%3D
N Stephen R Joel C Abraham I Morava-Protzner (1996) ArticleTitleAdenocarcinoma of the lung metastatic to the psoas muscle Skelet Radiol 25 585–7
MM LaBan MS Tamler AM Wang JR Meerschaert (1992) ArticleTitleElectromyographic detection of paraspinal muscle metastasis. Correlation with magnetic resonance imaging Spine 17 1144–7 Occurrence Handle1:STN:280:ByyD28fltFA%3D Occurrence Handle1440002
RT Poon ST Fan CB O'Suilleabhain J Wong (2002) ArticleTitleAggressive management of patients with extrahepatic and intrahepatic recurrences of hepatocellular carcinoma by combined resection and locoregional therapy J Am Coll Surg 195 311–8 Occurrence Handle10.1016/S1072-7515(02)01226-7 Occurrence Handle12229937
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wu, MH., Wu, YM. & Lee, PH. The Psoas Muscle as an Unusual Site for Metastasis of Hepatocellular Carcinoma: Report of a Case. Surg Today 36, 280–282 (2006). https://doi.org/10.1007/s00595-005-3141-1
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00595-005-3141-1