2011 年 60 巻 1 号 p. 7-11
We report a case of metastatic hepatocellular carcinoma with numb chin syndrome as a initial manifestation. A 55-year-old man was referred to our hospital due to numbness of the left lower lip. Radiographic examination revealed neither osteosclerotic nor radiolucent lesion inside the left mandible. However, the invasive destsruction of the buccal cortex at this region was discovered by the computed tomography. A biopsy inside the mandible suggested metastatic hepatocellular carcinoma. Although the patient was scheduled to receive chemotherapy, his general condition deteriorated rapidly and died four months after the first visit.