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Journal of Korean Neurosurgical Society 1984;13(3): 491-495.
Extirpated Intra- and Extracranial Metastasis of Hepatocellular Carcinoma: Case Report.
Ho Kyun Ha, Suck Jun Oh, Hae Dong Jho, Young Rak Yoo, Nam Kyu Kim, Hwan Yung Chung
Department of Neurosurgery, Hanyang University, School of Medicine, Seoul, Korea.
ABSTRACT
A rare case of surgically extirpated intra- and extracranial metastasis of hepatocellular carcinoma is reported. This dumb-bell shaped tumor simulated malignant meningioma on computerized tomography brain scan and cerebral angiography. Removal of the mass was successfully achieved by external carotid ligation and CUSA dissection. We suggest that, when investigating patient with suspected cranial secondaries particulary if there is a bony involvement, serum alpha-fetoprotein and hepatic ultrasound should be carried out as screening procedures.
Key Words: Hepatocellular carcinoma; Dumb-bell shaped metastasis CUSA dissection; alpha-fetoprotein; Hepatic ultrasound
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