Korean Journal of Gastrointestinal Endoscopy 1999;19(2): 267-274.
간세포암의 십이지장침윤에 의한 상부위장관 출혈 1 예 (A Case of Hepatocellular Carcinoma with Duodenal Invasion and Bleeding)
유태현, 한광협, 박성하, 김형길, 문영명, 한재호, 조상호 (Tae-Hyeon Yoo, Kwang-Hyub Han, Sung-Ha Park, Hyung-Kil Kim, Young-Myong Moon, Jae-Ho Han and Sang-Ho Cho)
Abstract
Recent advances in both the diagnosis and treatment of hepatocellular carcinoma have improved the prognosis and changed the clinical significance of the recently increasing distant metastases. Distant metastases found after successful treament of the primary lesions are of great clinical significance for the treatment of hepatocellular carcinoma. The duodenum is a rare site of hematogenous metastases or direct invasion from hepatocellular carcinoma. A 23 year old man was admitted with upper gastrointestinal bleeding. He had been diagnosed with hepatocellular carcinoma and treated by a left lobectomy and chemoembolization. The patient was admittted for 12 months after the treatment of the primary tumor. Endoscopic examination revealed a mass in the duodenal bulb that protruded into the lumen. He died due to massive hematemesis. We report on a rare case of hepatocellular carcinoma with duodenal invasion in a 23-year-old male patient. (Korean J Gastrointest Endosc 19: 267 ∼272, 1999)
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