Journal of Investigative Medicine High Impact Case Reports (Oct 2022)

A Rare Case of Metastatic Hepatocellular Carcinoma to the Hard Palate

  • Priscilla R. P. Lyon DO,
  • Sean Trevathan MD,
  • Rudranath Talukdar MD,
  • Dominic D. Nguyen MD,
  • Christopher M. McPhaul MD,
  • Debby Rampisela MD

DOI
https://doi.org/10.1177/23247096221133989
Journal volume & issue
Vol. 10

Abstract

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Extrahepatic metastasis of hepatocellular carcinoma (HCC) to the head and neck is unusual, especially the oral cavity/maxillofacial region. Metastatic HCC to the hard palate, however, is particularly rare. The most common site of HCC metastasis is the lung, followed by lymph nodes, bone, and adrenal gland. Importantly, oral cavity metastatic HCC may be misdiagnosed as a primary malignancy, such as a salivary gland carcinoma. In this article, we describe a young woman with metastatic HCC to the hard palate that was initially diagnosed as an acinic cell carcinoma.