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KMID : 0939920080400030141
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대한암학회지
2008 Volume.40 No. 3 p.141 ~ p.144
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Hepatocellular Carcinoma Presenting as Uterine Metastasis
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Kang Woo-Dae
Kim Cheol-Hong
Cho Moon-Kyoung
Kim Jong-Woon
Lee Ji-Shin
Kim Yoon-Ha
Choi Ho-Sun
Kim Seok-Mo
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Abstract
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Metastatic extragenital cancer that spreads to the uterus is rare. When it occurs, the extragenital primary disease is often in the breast or gastrointestinal tract. We report here on a case of hepatocellular carcinoma (HCC) that metastasis to the uterus. The patient was admitted for evaluation of a pelvic mass. The serum alpha-fetoprotein level was highly elevated. Magnetic resonance imaging of the abdomen and pelvis showed hepatic and uterine masses. The patient underwent surgical treatment. The histopathologic findings and immunohistochemical staining results of the uterine mass were char acteristics of metastatic HCC. The endometrium and both ovaries were free of tumor. Up to now, there have been only two cases of uterine metastasis from HCC reported in the English literature. This case is the first documented instance of a metastatic uterine tumor from HCC that spared both ovaries. (Cancer Res Treat. 2008;40:141- 144)
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KEYWORD
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Hepatocellular carcinoma, Uterine metastasis, Uterine neoplasm
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