Korean J Gastrointest Endosc.  1996 Oct;16(5):749-755.

A Case of Duodenal Metastasis of Hepatocellular Carcinoma Presenting Gastrointestinal Bleeding

• Kang YJ
• Park HU
• Ok JH
• Kim MK
• Kim TI
• Lee HG
• Kim YG
• Choi YS

Abstract

Extrahepatic metastasis of Hepatocellular carcinoma(HCC) to the gastrointestinal tract is uncommon. Because most of metastases to the gastrointestinal tract have no clinical manifestations, they are usually found incidentally at the time of an autopsy or a laparotomy, We experienced a case of duodenal metastasis of HCC, which presented UGI bleeding. A 59 years old male was admitted to our hospital due to generalized jaundice, which lasted for about a week. From the third day of admission, he had episodes of hematemesis and melena. An abdoinal CT scan demonstrated multiple, variable sized low-density masses in the entire liver with portal vein thrombosis and conglomerated lymph nodes. An esophagogastroduodenoscopy showed a protruded submucosal mass-like lesion with multiple ulceration in the duodenal bulb. We confirmed the duodenal mass-like lesion to be hepatocellular carcinoma by a biopsy and a histoimmunochemical study.

Keyword

Hepatocellular carcinoma; Duodenal metastasis; UGI bleeding

MeSH Terms

Autopsy
Biopsy
Carcinoma, Hepatocellular*
Endoscopy, Digestive System
Gastrointestinal Tract
Hematemesis
Hemorrhage*
Humans
Jaundice
Laparotomy
Liver
Lymph Nodes
Male
Melena
Middle Aged
Neoplasm Metastasis*
Tomography, X-Ray Computed
Ulcer
Venous Thrombosis