Paraneoplastic Pemphigus and Liver Biopsy Needle Track Dissemination in Hepatocellular Carcinoma: A Case Report

This case illustrates a rare and diagnostically complex association of PNP with HCC in a non-cirrhotic liver. It highlights how immunosuppressive therapy for PNP may adversely affect tumor control and potentially accelerate disease progression. Additionally, it underscores the risk of tumor seeding after liver biopsy, especially in immunosuppressed patients. Recognizing these complexities is essential to guide appropriate diagnosis and therapeutic approaches in similar cases.