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Hepatic metastasis of anal squamous cell carcinoma
  1. Zi Qin Ng1,
  2. Suresh Navadgi1,
  3. Dilini Gunawardena2 and
  4. Abraham Jacob1
  1. 1Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Department of Anatomical Pathology, PathWest Laboratory Medicine Western Australia, Nedlands, Western Australia, Australia
  1. Correspondence to Dr Zi Qin Ng; kentng{at}


A 50-year-old woman was diagnosed with anal squamous cell carcinoma following a colonoscopy performed for positive test from the National Bowel Screening Programme. During the staging imaging, it was discovered to have a liver lesion that was atypical for metastasis. She underwent a segmental liver resection, and histopathology showed the liver lesion as a metastatic squamous cell carcinoma. We aim to discuss the incidence, presentation and management strategies for this rare hepatic metastasis of anal squamous cell carcinoma.

  • gastrointestinal system
  • general surgery
  • gastrointestinal surgery
  • surgical oncology

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  • Contributors ZQN designed the study, collected and analysed the data and drafted the article. SN analysed the data and reviewed the manuscript. DG anaylsed the histopathology and reviewed the manuscript. AJ supervised the study and critically reviewed the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.