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Vertebral metastasis of hepatocellular carcinoma secondary to viral hepatitis B: case report of 2 patients,
Lien de l'article: doi: 10.36740/WLek202402126
Discipline: Médecine clinique
Auteur(s): Yannick Laurent Tchenadoyo Bayala, Ismael Ayouba Tinni, Fulgence Kaboré, Joelle Wendlassida Stephanie Zabsonre/ Tiendrebeogo, Dieu-Donné Ouedraogo
Renseignée par : OUEDRAOGO Dieu-Donné
Résumé

Bone metastases from liver cancer are rare. We report two cases of bone metastases revealing HBV-induced HCC. A 26-year-old african man presented with 4 months of low back pain in the context of general deterioration. Examination revealed a lumbar spinal syndrome and hepatomegaly. Abdominal ultrasound revealed a multinodular liver, and a CT scan of the spine revealed osteolytic lesions. Biological tests revealed a hepatic cytolysis syndrome, hepatic cholestasis and hepatocellular insufficiency. Alpha foetoprotein levels were elevated and hepatitis B serology was positive. We adopted the diagnosis of HCC of viral B origin with bone metastasis. The second case involved a 44-year-old African man admitted for 10 days with back pain. Examination revealed a spinal syndrome, paraplegia and hepatomegaly. A thoracic-abdominal-pelvic CT scan revealed typical HCC lesions and osteolytic lesions on the ribs, pelvis and vertebrae. The biology revealed a biological inflammatory syndrome, hepatic cytolysis, a hepatocellular insufficiency syndrome and a cholestasis syndrome. Alfa-feto proteins were elevated and HBV serology was positive. The diagnosis of bone metastasis of HCC secondary to HBV infection was accepted.

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