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Introduction: Hepatocellular carcinoma (HCC) is a primary malignancy which arises from hepatocytes. It is the sixth most commonly diagnosed cancer and the third leading cause of cancer death worldwide in 2020. It predominantly metastasizes via the hematogenous route. However, there are possibility of distant metastasis via the lymphatic and bone dissemination in a few of HCC cases. Case Series: We report two atypical cases of HCC with distant metastasis to cervical lymph node and bone in Malaysia. The first case reported is a HCC case of extrahepatic metastasis to cervical lymph node and the second case is a HCC case of extrahepatic metastasis to right femur. Conclusion: The patients with atypical site of distant metastasis from HCC have poor prognosis. Overall physical examination should be done to prevent overlook for all the patients with HCC.

Introduction: Pancreatic neuroendocrine neoplasm (PNEN) is a rare malignancy arising from the endocrine tissue of the pancreas. These tumors are classified based on functional (hormonal) status and malignant potential. Symptoms and signs are related to the hormonal function, tumor size, and metastatic effect. The majority are sporadic, non-functioning while insulinoma remains the most prevalent functional variety of these tumors. Case Series: We present two cases of PNEN with different presentations and treatments; one with a resectable disease who presented as a rare case of bleeding PNEN, and the other who was unresectable due to extensive metastatic PNEN. Conclusion: Pancreatic neuroendocrine neoplasm is a heterogeneous group of disorder with a multitude of clinical presentation. Each patient must be investigated and managed appropriately according to the treatment of

The recurrence of hepatocellular carcinoma (HCC) can mainly be divided into two phases or types: the intrahepatic recurrence (IHR) and the extrahepatic recurrence (EHR). Generally speaking, the EHR is usually referenced as being the less common of the two types or categories. In a post-hemihepatectomy patient with routine surveillance at 6 months, it was noted that the patient appeared to have an elevated alpha-fetoprotein, and also complained of vague lower abdominal pain. The accompanying computed tomography scan revealed a 6 cm-sized heterogeneous mass located at the pelvis region. Next, during a laparotomy for resection, the tumor was found to be bleeding from the omental deposition. In conclusion, a high index of suspicion and early surgical intervention can help in detecting possible bleeding extrahepatic recurrence in the background of a patient with history of HCC.