A Head Scratcher: Hepatocellular Carcinoma Manifesting as a Subcutaneous Scalp Lesion

Abstract

Hepatocellular carcinoma (HCC) comprises most primary liver cancer cases (75%-85%) and has a poor prognosis with a median survival of 9-20 months. 1,2 Metastatic HCC sites usually involve lungs, lymph nodes, and bones. Approximately 0.5%-3.5% of HCC metastases occur to the skin. 3 Prompt diagnosis can reduce the mortality rate of HCC by providing early curative treatment options or systemic therapy once metastasized.