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Cutaneous metastases from hepatocellular carcinoma

A 52‐year‐old South‐east Asian came in with complaints of an ulcerated, profusely bleeding, painful, 7‐cm cutaneous mass over his left scapula. This actively bleeding mass had a dusky vascular appearance and a boggy central core ( Fig. 1 ). The patient first noticed the mass 6 months before seeking medical attention. At that time it was a centimeter in diameter.