A Case of Hepatocellular Carcinoma with Duodenal Invasion and Bleeding.
- Author:
Tae Hyeon YOO
1
;
Kwang Hyub HAN
;
Sung Ha PARK
;
Hyung Kil KIM
;
Young Myong MOON
;
Jae Ho HAN
;
Sang Ho CHO
Author Information
1. Department of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Duodenal invasion
- MeSH:
Carcinoma, Hepatocellular*;
Diagnosis;
Duodenum;
Hematemesis;
Hemorrhage*;
Humans;
Male;
Neoplasm Metastasis;
Prognosis;
Young Adult
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(2):267-274
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recent advances in both the diagnosis and treatment of hepatocellular carcinoma have improved the prognosis and changed the clinical significance of the recently increasing distant metastases. Distant metastases found after successful treament of the primary lesions are of great clinical significance for the treatment of hepatocellular carcinoma. The duodenum is a rare site of hematogenous metastases or direct invasion from hepatocellular carcinoma. A 23 year old man was admitted with upper gastrointestinal bleeding. He had been diagnosed with hepatocellular carcinoma and treated by a left lobectomy and chemoembolization. The patient was admittted for 12 months after the treatment of the primary tumor. Endoscopic examination revealed a mass in the duodenal bulb that protruded into the lumen. He died due to massive hematemesis. We report on a rare case of hepatocellular carcinoma with duodenal invasion in a 23-year-old male patient.