KMID : 1103920070130010091
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Korean Journal of Hepatology 2007 Volume.13 No. 1 p.91 ~ p.95
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Gastric Metastasis of Hepatocellular Carcinoma Treated by Transarterial Chemoembolization: A Case Report
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Kim Ji Hoon
Park Joong-Won Choi Joon-Il Kim Hyun-Beom Koh Dong Wook Lee Woo-Jin Kim Chang-Min
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Abstract
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Extrahepatic metastasis in patients with hepatocellular carcinoma (HCC) occurs frequently. The most common site of metastasis is the lung, followed by regional lymph nodes and bones. However, gastrointestinal metastasis of HCC is a rare condition and solitary polypoid metastatic lesion on stomach without any evidence of direct invasion from primary mass is very rare. These metastatic lesions are usually asymptomatic, and most are discovered at postmortem examination or are found incidentally during laparotomy. The choice of treatment for gastrointestinal metastatic lesion of HCC includes surgery, transarterial chemoembolization, and local injection but the treatment is often difficult and unsuccessful. We report a case of 69 years old man who presented disappearance of a polypoid metastatic lesion of HCC on the gastric fundus by transarterial chemoembolization.
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KEYWORD
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Carcinoma, hepatocellular, Neoplasm metastasis, Transarterial chemoembolization, Stomach
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