Hepatocellular carcinoma (HCC) usually metastasizes to the lung, breast, lymph nodes, gastrointestinal tract, bone, kidney, and/or adrenal gland. Metastasis of HCC to the hard palate and tonsils is a rare phenomenon. Thus, we report a case of HCC with metastasis to the hard palate and both tonsils in a 45-year-old man. The patient was admitted to our hospital with a complaint of oral bleeding. Physical examination revealed a bleeding tumor located in the hard palate and histological examination showed metastasis from HCC. The patient died 2 months later due to multiple organ failure, although bleeding was controlled by radiotherapy.
Adrenal Glands ; Breast ; Carcinoma, Hepatocellular ; Gastrointestinal Tract ; Hemorrhage ; Humans ; Kidney ; Lung ; Lymph Nodes ; Middle Aged ; Mouth ; Multiple Organ Failure ; Neoplasm Metastasis ; Palate, Hard ; Palatine Tonsil ; Physical Examination

PURPOSE: The purpose of this study is to evaluate the value of nonoperative treatment for right-sided colonic diverticulitis. METHODS: One hundred fifty-eight patients with right-sided colonic diverticulitis were evaluated. Clinical history, physical and radiologic findings, and treatments were reviewed retrospectively. Also, additional episodes and treatment modalities were checked. RESULTS: Our patients were classified according to treatment modality; 135 patients (85.4%) underwent conservative treatment, including antibiotics and bowel rest, and 23 patients (14.6%) underwent surgery. The mean follow-up length was 37.3 months, and 17 patients (17.5%) underwent recurrent right-sided colonic diverticulitis. Based on treatment modality, including surgery and antibiotics, no significant differences in the clinical features and the recurrence rates were noted between the two groups. CONCLUSION: Conservative management with bowel rest and antibiotics could be considered as a safe and effective option for treating right-sided colonic diverticulitis. This treatment option for right-sided colonic diverticulitis, even if the disease is complicated, may be the treatment of choice.
Anti-Bacterial Agents ; Colon ; Diverticulitis ; Diverticulitis, Colonic ; Follow-Up Studies ; Humans ; Recurrence ; Retrospective Studies