|
KMID : 0359020060330050298
|
|
Korean Journal of Gastrointestinal Endoscopy
2006 Volume.33 No. 5 p.298 ~ p.302
|
|
|
Upper Gastrointestinal Bleeding due to Direct Invasion of Hepatocellular Carcinoma to the Duodenum
|
|
Jung Kyoung-Ah
Kim Hyun-Jin
Choi Sun-Pil
Ha Jong
Lim Byung-Ryol
Kim Tae-Hyo
Lee Ok-Jae
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Hepatocellular carcinoma, Metastasis, Hemorrhage, Duodenum
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|