A Case of Duodenal Metastasis of Hepatocellular Carcinoma Presenting Gastrointestinal Bleeding.
- Author:
Young Jin KANG
;
Hee Ug PARK
;
Jong Han OK
;
Mi Kyoung KIM
;
Tae Ik KIM
;
Hyung Gul LEE
;
Yong Geun KIM
;
Young Sun CHOI
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Duodenal metastasis;
UGI bleeding
- MeSH:
Autopsy;
Biopsy;
Carcinoma, Hepatocellular*;
Endoscopy, Digestive System;
Gastrointestinal Tract;
Hematemesis;
Hemorrhage*;
Humans;
Jaundice;
Laparotomy;
Liver;
Lymph Nodes;
Male;
Melena;
Middle Aged;
Neoplasm Metastasis*;
Tomography, X-Ray Computed;
Ulcer;
Venous Thrombosis
- From:Korean Journal of Gastrointestinal Endoscopy
1996;16(5):749-755
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Extrahepatic metastasis of Hepatocellular carcinoma(HCC) to the gastrointestinal tract is uncommon. Because most of metastases to the gastrointestinal tract have no clinical manifestations, they are usually found incidentally at the time of an autopsy or a laparotomy, We experienced a case of duodenal metastasis of HCC, which presented UGI bleeding. A 59 years old male was admitted to our hospital due to generalized jaundice, which lasted for about a week. From the third day of admission, he had episodes of hematemesis and melena. An abdoinal CT scan demonstrated multiple, variable sized low-density masses in the entire liver with portal vein thrombosis and conglomerated lymph nodes. An esophagogastroduodenoscopy showed a protruded submucosal mass-like lesion with multiple ulceration in the duodenal bulb. We confirmed the duodenal mass-like lesion to be hepatocellular carcinoma by a biopsy and a histoimmunochemical study.
