Upper Gastrointestinal Bleeding due to Direct Invasion of Hepatocellular Carcinoma to the Duodenum.
- Author:
Kyoung Ah JUNG
1
;
Hyun Jin KIM
;
Sun Pil CHOI
;
Jong HA
;
Byong Ryol LIM
;
Tae Hyo KIM
;
Ok Jae LEE
Author Information
1. Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea. imdrkim@naver.com
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Metastasis;
Hemorrhage;
Duodenum
- MeSH:
Argon;
Biopsy;
Carcinoma, Hepatocellular*;
Duodenum*;
Endoscopy;
Female;
Gastrointestinal Tract;
Hemorrhage*;
Humans;
Liver Neoplasms;
Middle Aged;
Neoplasm Metastasis;
Plasma;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2006;33(5):298-302
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although a metastasis to the gastrointestinal tract (GI) is rare in patients with hepatocellular carcinoma (HCC), it can occur by hematogenous or lymphatic spread, or by direct invasion of a tumor. A 61-year old woman who had a progressing large primary liver cancer presented with upper gastrointestinal (UGI) bleeding. UGI endoscopy showed a large duodenal submucosal tumor-like mass with a central ulcer and adherent blood clots. Endoscopic biopsy and coagulation using argon plasma probe were performed. The microscopic examination revealed a HCC. We report this unusual case of HCC with direct invasion of the duodenum.
