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Swathi Sangli, Pavan Kumar Mankal, Evan Fowle, Jean Abed, Eileen O’Reilly, Donald P. Kotler
A young male with quiescent hepatitis B presented with sub-acute onset of lower limb weakness found to have an incidental hepatoma that had metastasized to the vertebrae causing an oncologic emergency in the form of spinal cord compression, a rare initial presentation in HBV-related hepatocellular carcinoma (HCC).