原发性肝癌是我国常见的恶性肿瘤，国外报道肝癌骨转移的发生率为9．1％～13.4％、以骨转移为首发症状的原发性肝癌，国内外均属罕见。现将我院收治的以骨转移为首发症状的一例原发性肝癌报道如下。患者男性，70岁，因咳嗽、气紧、左胸和背部疼痛10多天，于1995年3月21日入院。 Primary liver cancer is a common malignancy in China. The incidence of bone metastases in liver cancer is reported to be 9.1% to 13.4% in foreign countries. Primary liver cancer with bone metastases as the first symptom is rare at home and abroad. A case of primary liver cancer with bone metastases as the first symptom in our hospital is reported below. The patient was male, 70 years old, admitted to hospital on March 21, 1995 for more than 10 days due to cough, tightness, left chest and back pain.