Abstract

A 37-year-old man who had multiple hepatocellular carcinoma (HCC) lesions in the liver presented with a 1-week history of upper abdominal pain. He received transcatheter arterial chemoembolization in September 2020, April 2021, and September 2021. On physical examination, a lump on the scalp (Figure A) and a lump at middle finger (Figure B) were noticed. There was no tendency of spontaneous rupture of the lumps. Punch biopsy of the lumps was performed, revealing highly atypical cells (Figure C).

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