Rare Presentation of Metastatic Hepatocellular Carcinoma to The Finger, Case report and Review of the literature

Hepatocellular carcinoma (HCC) is a primary tumor of the liver that develops in setting chronic disease. HCC difficult to diagnosis due it requiring use multiple imaging modalities with goal detect tumors when they are less than or equal 2 cm size allow all possible treatment options be used. Herein, we discuss 69-year-old male stage IV cancer residing hospice presenting left middle finger osteomyelitis and extreme pain. Radiology revealed destructive lesion, but pathology provided metastatic hepatocellular his finger. Even though can diagnosed on alone, this case highlights need for biopsy provide an accurate