Solitary Extrahepatic Intramuscular Metastasis from Cryptogenic Hepatocellular Carcinoma.

Although hepatocellular carcinoma (HCC) recurrence after curative resection is not uncommon, it primarily recurs in the liver prior to metastatic progression. We report a case of resected pT2N0 cryptogenic HCC that recurred in the superior paracervical musculature without evident intrahepatic recurrence. The patient also developed cervical spine instability requiring urgent neurosurgery.

A tale of two countries: International comparison of online doctor reviews between China and the United States.

Background: Worldwide, patients have posted millions of online reviews for their doctors. The rich textual information in the online reviews holds the potential to generate insights into how patients' experience with their doctors differ across nations and how should we use them to improve our health service.

Objective: We apply customized text mining techniques to compare online doctor reviews from China and the United States, in order to measure the systematic differences in patient reviews between the two countries, and assess the potential insights that can be derived from this large volume of online text data.