• Rua General Jardim, 846 cj 41 Higienópolis, São Paulo - SP

Bone Metastasis Of Hepatocarcinoma In The Femur

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Bone metastasis of hepatocarcinoma in the femur

Hepatocellular carcinoma metastasis. A 71-year-old patient, who had had hepatocellular carcinoma for five years, reported pain and limping in her right hip for two months.
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Figura 5: Tomografia de abdome e Pelve 2015-02-09
Figure 5: Tomography of the abdomen and pelvis 2015-02-09
Figura 6: Tomografia de abdome superior 2015-02-09
Figure 6: Upper abdominal tomography 2015-02-09
Figura 7: PETCET 2015-08-20
Figure 7: PETCET 2015-08-20
Figura 8: PETCET 2015-08-20
Figure 8: PETCET 2015-08-20
Figura 9: PETCET 2015-08-20
Figure 9: PETCET 2015-08-20
Figura 10: PETCET 2015-08-20
Figure 10: PETCET 2015-08-20
Figura 11: Laudo do PETCET 2015-08-20
Figure 11: PETCET Report 2015-08-20
Figura 12: Cintilografia 2015-09-04
Figure 12: Scintigraphy 2015-09-04
Figura 13: Laudo da cintilografia 2015-09-04
Figure 13: Scintigraphy report 2015-09-04
Figura 14: Rm axial T1 fat pós 2015-09-25
Figure 14: Axial Rm T1 fat post 2015-09-25
Figura 15: Rm axial T2 fat 2015-09-25
Figure 15: Axial Rm T2 fat 2015-09-25
Figura 16: Rm coronal T1 fse 2015-09-25
Figure 16: Coronal Rm T1 fse 2015-09-25
Figura 17: Rm coronal T1 fse 2015-09-25
Figure 17: Coronal Rm T1 fse 2015-09-25
Figura 18: Rm coronal T1 fat pós 2015-09-25
Figure 18: Coronal Rm T1 fat post 2015-09-25
Figura 19: Rm coronal club T1 2015-09-25
Figure 19: Rm coronal club T1 2015-09-25
Figura 20: Rm coronal T2 fat 2015-09-25
Figure 20: Coronal Rm T2 fat 2015-09-25
Figura 21: Rm coronal T2 fat 2 2015-09-25
Figure 21: Coronal Rm T2 fat 2 2015-09-25
Figura 22: Rm daxobl T2 fat 2 2015-09-25
Figure 22: Rm daxobl T2 fat 2 2015-09-25
Figura 23: Rm daxobl T2 fat 2015-09-25
Figure 23: Rm daxobl T2 fat 2015-09-25
Figura 24: Rm sagital T2 fat 2015-09-25
Figure 24: Sagittal Rm T2 fat 2015-09-25
Figura 25: Laudo da Rm do quadril direito 2015-09-25
Figure 25: Right hip MRI report 2015-09-25
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Figura 77: Fechamento da cicatriz cirúrgica.
Figure 77: Closure of the surgical scar.
Figura 78: Curativo.
Figure 78: Dressing.
Figura 79: Radiografia do quadril direito frente, mostrando a boa posição da prótese.
Figure 79: Radiograph of the front right hip, showing the good position of the prosthesis.
Figura 80: Corte coronal da peça cirúrgica evidenciando a lesão, com erosão da cortical e tumor extra-ósseo medialmente.
Figure 80: Coronal section of the surgical specimen showing the lesion, with cortical erosion and extra-osseous tumor medially.
Figura 81: Corte coronal, mais posterior, destacando a destruição da cortical e o tumor crescendo para fora do osso.
Figure 81: Coronal section, more posterior, highlighting the destruction of the cortex and the tumor growing out of the bone.
Figura 83: Histologia de metástase óssea de hepatocarcinoma -_AE1AE3_2.
Figure 82: Histology of the resected femur segment, of bone metastasis from hepatocarcinoma -_AE1AE3_1
Figure 83: Histology of bone metastasis from hepatocarcinoma -_AE1AE3_2.
Figura 85: Imunohistoquímica -_CK20_negativo
Figure 84: immunohistochemistry -_CEA_canalicular_pattern
Figure 85: Immunohistochemistry -_CK20_negative
Figura 87: HE - Metástase_óssea_de_hepatocarcinoma
Figure 86: Immunohistochemistry -_CK7_negative
Figure 87: HE - Bone_metastasis_of_hepatocarcinoma
Figura 89: Imunohistoquímica - _HEPPAR_1
Figure 88: He - Bone_metastasis_of_hepatocarcinoma Figure 89: Immunohistochemistry - _HEPPAR_1
Figura 91: Imunohistoquímica - _Ki67.
Figure 90: Immunohistochemistry - _HEPPAR_2
Figure 91: Immunohistochemistry - _Ki67.
Figura 93: HE - _partes_moles_1.
Figure 92: Immunohistochemistry - cytoplasmic_pattern.
Figure 93: HE - _soft_parts_1.
Figura 95: HE -_margem_cirúrgica_medular_enviada_em_separado
Figure 94: HE - _soft_parts_2.
Figure 95: HE -_surgical_margin_medullary_sent_separately
Figura 96: HE -_margem_cirúrgica_peça.
Figure 96: HE -_surgical_margin_piece.
Figura 97: laudo da anatomia patológica - Macro
Figure 97: pathological anatomy report - Macro
Figura 98: Laudo da patologia
Figure 98: Pathology report

Author: Prof. Dr. Pedro Péricles Ribeiro Baptista

 Orthopedic Oncosurgery at the Dr. Arnaldo Vieira de Carvalho Cancer Institute

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