Primary liver cancer is one of the most common cancers which endanger human health.Hematogenous metastasis and lymphatic metastasis are two major ways of extrahepatic metastasis for primary liver cancer.The most common sites of extrahepatic metastasis are lung,followed by lymph nodes,bone and adrenal glands.Direct invasion and metastasis of the thoracic wall is rare.In this paper,a case of primary liver cancer with direct invasion of thoracic wall was reported.%原发性肝癌是危害人类健康的主要肿瘤之一.原发性肝癌肝外转移的常见途径为血行转移和淋巴转移.肝外转移的部位以肺最多见,其次为淋巴结、骨及肾上腺等.原发性肝癌发生胸壁直接浸润转移罕见,现有病例报道多见于医源性操作造成的种植性转移.现就于本院就诊的1例原发性肝癌发生直接胸壁侵犯并导致广泛皮下出血的病例进行报告.
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