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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):1007-1010.
Scapular Mestastasis of Hepatocellular Carcinoma with Total Supraspinatus Tendon Rupture: A case report.
Song, Sun Hong , Choi, Soo Jung
1Department of Rehabilitation Medicine, Kangnung Asan Hospital, Korea. song0805@gnah.co.kr
2Department of Diagnostic Radiology, Kangnung Asan Hospital, Korea.
극상근 완전 파열을 동반한 원발성 간종양의 견갑골 전이 1례 ⁣증례 보고⁣
송선홍, 최수정1
강릉아산병원 재활의학과, 1진단방사선과
Abstract
Hepatocellular carcinoma is one of the most prevalent cancers in the world, particularly in Asia and part of Africa. Hepatocellular carcinoma usually spreads to the lung and regional lymph nodes and its clinical presentation with bone metastasis to scapulae is very rare. We experienced a patient who was a 60-year-old female, visited for unilateral shoulder pain with previous hepatocellular carcinoma history. The physical examination suggested supraspinatus tear and joint problem, but pain nature was atypical. In further MRI imaging, scapular metastasis with full thickness tear of supraspinatus was detected. So we confirmed scapular metastatic lesion by hepatocellular carcinoma and transferred to gastrointestinal department for intensive care, but she discharged to home her own way. She expired with dyspnea and heart arrest 1 month later. We report the scapular metastasis of hepatocellular carcinoma with total supraspinatus tendon rupture. (J Korean Acad Rehab Med 2003; 27: 1007-1010)
Key Words: Hepatocellular carcinoma, Scapular metastasis, Supraspinatus tear


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