Hepatocellular carcinoma with metastasis to the rib complicated by hemothorax. An autopsy case.

Hisanobu Ogata, H. Tsuji, M. Hashiguchi, K. Azuma, J. Shimono, M. Fujishima

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

A 64-year old man was admitted to our hospital with multiple hepatocellular carcinoma (HCC) lesions in the liver, lung and bone. Three weeks after admission, the patient became complicated with right upper chest pain. A chest radiograph showed a marked increase in right pleural effusion. Thoracentesis demonstrated a hemothorax. Despite treatment with a continuous pleural tap and blood transfusions, the patient's clinical status worsened and he developed severe dyspnea. His right pleural effusion might be considered to be caused by a rupture of the HCC metastasis in the right 2nd rib. The patient died due to respiratory and hepatic failure 26 hours after his occurring the pleural effusion. An autopsy revealed moderately differentiated HCC in the liver, lung and bone. The HCC metastasis of the right 2nd rib was found to have torn the nearby pleura. We described a rare case in which hemothorax was caused by a ruptured rib-based HCC.

Original languageEnglish
Pages (from-to)342-346
Number of pages5
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume90
Issue number8
Publication statusPublished - Jan 1 1999

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Hemothorax
Ribs
Hepatocellular Carcinoma
Autopsy
Neoplasm Metastasis
Pleural Effusion
Bone and Bones
Lung
Pleura
Patient Admission
Liver
Liver Failure
Chest Pain
Blood Transfusion
Respiratory Insufficiency
Dyspnea
Rupture
Thorax

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Hepatocellular carcinoma with metastasis to the rib complicated by hemothorax. An autopsy case. / Ogata, Hisanobu; Tsuji, H.; Hashiguchi, M.; Azuma, K.; Shimono, J.; Fujishima, M.

In: Fukuoka igaku zasshi = Hukuoka acta medica, Vol. 90, No. 8, 01.01.1999, p. 342-346.

Research output: Contribution to journalArticle

Ogata, H, Tsuji, H, Hashiguchi, M, Azuma, K, Shimono, J & Fujishima, M 1999, 'Hepatocellular carcinoma with metastasis to the rib complicated by hemothorax. An autopsy case.', Fukuoka igaku zasshi = Hukuoka acta medica, vol. 90, no. 8, pp. 342-346.
Ogata, Hisanobu ; Tsuji, H. ; Hashiguchi, M. ; Azuma, K. ; Shimono, J. ; Fujishima, M. / Hepatocellular carcinoma with metastasis to the rib complicated by hemothorax. An autopsy case. In: Fukuoka igaku zasshi = Hukuoka acta medica. 1999 ; Vol. 90, No. 8. pp. 342-346.
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