Korean J Hepatol.  2007 Mar;13(1):91-95.

Gastric Metastasis of Hepatocellular Carcinoma Treated by Transarterial Chemoembolization: A Case Report

• Kim JH
• Park JW
• Choi JI
• Kim HB
• Koh DW
• Lee WJ
• Kim CM

Abstract

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.

Keyword

Carcinoma, hepatocellular; Neoplasm metastasis; Transarterial chemoembolization; Stomach

MeSH Terms

Aged
Carcinoma, Hepatocellular/*diagnosis/secondary/therapy
*Chemoembolization, Therapeutic
Duodenoscopy
Gastric Fundus/radiography
Humans
Liver Neoplasms/*diagnosis/pathology/therapy
Male
Stomach Neoplasms/*diagnosis/secondary/therapy
Tomography, X-Ray Computed