Poor dietary intake improved by total excision of oral cavity metastases in a patient with hepatocellular carcinoma and elevated myeloid-derived suppressor cells

摘要

Hepatocellular carcinoma (HCC) is a common form of cancer, and it ranked sixth for cancer incidence and fourth for cancer deaths globally in 2015 (1). HCC treatment strategies include resection, transplantation, ablation, local therapy, systemic therapy, and palliative care depending on the stage, where metastasis indicating poor prognosis (2). Rare HCC metastases such as those in the oral cavity indicate aggressive malignancy and even poorer outcome, and it may be the initial manifestation of HCC (2).