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Metastasis to the spinal cord is a very unusual and rare presentation of HCC. To the best of our knowledge, only 33 such cases have been published to date (Table 1). Of those 33 patients, 21 had evidence of previous hepatitis B infection, and two of them had hepatitis C as well. One patient was positive for hepatitis C and had a history of alcohol abuse. Three patients had a history of alcohol abuse without evidence of viral hepatitis infection.
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