本文报道1例食管癌转移到左股骨颈,3例原发性肝癌(PLC)分别转移到颈椎、肋骨、颅骨,均以转移灶症状首次求医诊治。例1:女,69岁,1994年9月出现左下肢活动障碍,当地医院X线诊断左股骨颈骨折,卧床休息10个月,症状加重于1995年7月8日入我院骨科诊治。查体:贫血外貌,浅表淋巴结未触及,腹软,肝脾未触及,左髋呈轻度内收外旋屈曲位。血红蛋白49g/L,大便潜血＋~＋＋。X线示左股骨颈骨折、股骨头及骨折端骨密度减低,有溶骨性破坏,无增生。以贫血原因待查转消化内科。胃镜检查食管下段癌,活检病理诊断食管腺癌。同时行左股骨颈溶骨处穿刺细胞学检查为骨转移性腺癌。结合临床诊断食管癌并左股骨颈转移。经输血及对症处理,病人自动 This article reported one case of esophageal cancer metastasis to the left femoral neck, three cases of primary liver cancer (PLC) were transferred to the cervical spine, ribs, skulls, all for the first time for symptoms of metastases for medical treatment. Example 1: Female, 69 years old, had left lower extremity movement disorder in September 1994. X-ray diagnosis of the left femoral neck fracture in the local hospital, and bed rest for 10 months, the symptoms worsened on July 8, 1995 into our hospital for orthopedic diagnosis and treatment. Physical examination: appearance of anemia, untouched superficial lymph nodes, soft abdomen, untouched liver and spleen, and mild external adduction and external rotation of the left hip. Hemoglobin 49g/L, fecal occult blood +~++. The X-ray shows that the left femoral neck fracture, the femoral head and the fracture end bone density are reduced, osteolytic destruction, no proliferation. The cause of anemia should be turned into gastroenterology. Gastroscopy examination of the lower esophageal cancer, biopsy pathological diagnosis of esophageal adenocarcinoma. At the same time, the puncture cytology at the left femoral neck osteolysis was bone metastatic adenocarcinoma. Combined with clinical diagnosis of esophageal cancer and left femoral neck metastasis. After transfusion and symptomatic treatment, the patient automatically