PMC10409891_01
CT image of hepatocellular carcinoma and clinical image of skin lesions. (A) Contrast-enhanced CT revealed a tumour with a long axis of 10 cm in the S4 segment of the liver. Necrotic changes were visible in the central region. (B) Extensive coalescing oedematous erythema was observed on the limbs and trunk
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Liver dynamic CT revealed a 10 cm, arterially enhancing mass in hepatic segment 4, consistent with HCC (Fig. 1A). A physical examination revealed multifocal pruritic, erythematous plaques on the extremities and trunk (Fig. 1B), and no skin lesions typically associated with DM, such as heliotrope rash or Gottron's sign, were observed.