Skip to main content
SpringerLink
Log in

Hepatocellular carcinoma associated with hemorrhaging from iatrogenic rupture of a rib metastasis

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Detecting a rib metastasis as a first manifestation before identifying hepatocellular carcinoma (HCC) is rare. We report an HCC with massive bleeding from the biopsied rib tumor. A 68-year-old man was referred for right chest pain. Computed tomography showed a mass in the rib and two small masses in the liver. The biopsied rib continued to bleed, so we removed the entire tumor, including the rib. We histologically confirmed the diagnosis as rib metastasis from the HCC. The patient died 3 months after the onset. We caution against performing an incisional biopsy without due consideration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Okazaki N, Yoshino M, Yoshida T, Hirohashi S, Kishi K, Shimosato Y. Bone metastasis in hepatocellular carcinoma. Cancer 1985;55:1991–1994.

    Article  PubMed  CAS  Google Scholar 

  2. Kulhman JE, Fishman EK, Leichner PK, Magid D, Oreler SE, Siegelman SS. Skeletal metastasis from hepatoma: frequency, distribution and radiographic features. Radiology 1986;160:175–178.

    Google Scholar 

  3. Nowak MM, Ponsky JL. Hepatocellular carcinoma metastatic to rib: an approach to an unusual chest wall tumor. J Surg Oncol 1983;24:196–200.

    Article  PubMed  CAS  Google Scholar 

  4. Soto S, Artaza T, Gomez R, Camacho FI, Rodriguez I, Gonzalez C, et al. Rib metastasis revealing hepatocellular carcinoma. Scand J Gastroenterol 2000;35:333–336.

    Article  PubMed  CAS  Google Scholar 

  5. Okada S, Okazaki N, Nose H, Yoshimori M, Aoki K. Prognostic factors in patients with hepatocellular carcinoma receiving systemic chemotherapy. Hepatology 1992;16:112–117.

    Article  PubMed  CAS  Google Scholar 

  6. Wei YF, Wang HC, Chang YC. Hemothorax due to metastatic hepatocellular carcinoma presenting with massive hemoptysis. J Formos Med Assoc 2006;105:346–348.

    Article  PubMed  Google Scholar 

  7. Sohara N, Takagi H, Yamada T, Abe T, Mori M. Hepatocellular carcinoma complicated by hemothorax. J Gastroenterol 2000;35:240–244.

    Article  PubMed  CAS  Google Scholar 

  8. Sekiya Y, Yamada H, Yoshitsugu M, Ihori M, Takemura T. An autopsy case of hepatocellular carcinoma associated with right hemothorax from spontaneous rupture of the rib metastasis. Nippon Shokakibyo Gakkai Zasshi (J Jpn Soc Gastroenterol) 1992;89:1310–1313 (in Japanese).

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Thoracic Surgery, Maebashi Red Cross Hospital, 3-21-36 Asahi-cho, Maebashi, Gunma, 371-0014, Japan

    Mitsuhiro Kamiyoshihara & Takashi Ibe

  2. Division of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

    Izumi Takeyoshi

Authors
  1. Mitsuhiro Kamiyoshihara
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takashi Ibe
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Izumi Takeyoshi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mitsuhiro Kamiyoshihara.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kamiyoshihara, M., Ibe, T. & Takeyoshi, I. Hepatocellular carcinoma associated with hemorrhaging from iatrogenic rupture of a rib metastasis. Gen Thorac Cardiovasc Surg 57, 49–52 (2009). https://doi.org/10.1007/s11748-008-0320-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-008-0320-1

Key words

Search

Navigation