Korean J Gastrointest Endosc > Volume 33(5); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(5): 298-302.
간세포암의 십이지장 직접전이에 의한 상부 위장관 출혈 1예
경상대학교 의과전문대학원 내과학교실, 건강과학원
Upper Gastrointestinal Bleeding due to Direct Invasion of Hepatocellular Carcinoma to the Duodenum
Kyoung Ah Jung, M.D., Hyun Jin Kim, M.D., Sun Pil Choi, M.D., Jong Ha, M.D., Byong Ryol Lim, M.D., Tae Hyo Kim, M.D. and Ok Jae Lee, M.D.
Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea
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. (Korean J Gastrointest Endosc 2006;33:298⁣302)
Key Words: Hepatocellular carcinoma, Metastasis, Hemorrhage, Duodenum
주요어: 간세포암, 십이지장, 전이, 출혈
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