A Case of Early Gastric Carcinoma Combined with Hypereosinophilic Multiple Liver Abscesses.
- Author:
Hung Sok OH
1
;
Seung Chul PARK
;
Sang Hun SONG
;
Ki Hyun SEO
;
Jae Han KIM
;
Wan Seop KIM
;
Myung Jin OH
;
Il Kwun CHUNG
;
Hong Soo KIM
;
Sang Heum PARK
;
Moon Ho LEE
;
Sun Joo KIM
Author Information
1. Divisison of Gastroenterology, Department of Internal Medicine Soon Chun Hyang University College of Medicine, Chonan Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Eosinophilia;
Hepatic lesion;
Early gastric carcinoma
- MeSH:
Clinical Medicine;
Drug Therapy;
Eosinophilia;
Eosinophils;
Humans;
Hypereosinophilic Syndrome;
Hypersensitivity;
Liver Abscess*;
Liver*;
Male;
Neoplasm Metastasis;
Parasites;
Stomach Neoplasms
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(5):808-813
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eosinophilia is defined as the presence of more than 500 eosinophil/mL of blood and is common in the clinical condition such as parasite infestation, drug, allergy, hypereosinophilic syndrome, and malignant diseases. Determining the cause of eosinophilia may be one of the most frustrating endeavors in clinical medicine. Hepatic infiltration of eosinophils and microabscess formation are observed in many disorders. Gastric cancer and intestinal malignancies show frequent liver metastasis and blood eosinophilia. Several cases of an early gastric carcinoma (EGC) with metastasis of the liver have been reported. When multiple intrahepatic lesions of suspicious malignancy appear in radiologic study, clinicians must differentiate malignancy from benign diseases. A case is herein reported of a 56- year-old male patient with synchronously developed, multiple low density hepatic lesions with early gastric carcinoma. He was managed with systemic chemotherapy at another hospital, because he was diagnosed with distant metastasis of early gastric carcinoma. Upon operating these lesions were proved to be EGC combined with hypereosinophilic multiple liver abscesses. This case is herein reported with a review of relevant literatures.