Document Detail

Metastasis of hepatocellular carcinoma to the right colon manifested by gastrointestinal bleeding.
MedLine Citation:
PMID:  10075295     Owner:  NLM     Status:  MEDLINE    
An 82-year-old black woman with a history of hepatocellular carcinoma presented with gastrointestinal bleeding. Barium enema and fibrocolonoscopy revealed a 4-cm polypoid mass at the level of the ascending colon with evidence of active bleeding. Biopsies of the lesion proved it to be metastatic hepatocellular carcinoma. Exploratory laparotomy revealed no further dissemination of the tumor, and the patient underwent an ileocolectomy. The serosal side of the colonic lesion was free from tumor, and there was no peritoneal implantation, direct extension, or lymph node involvement. This case represents an extremely rare presentation of metastatic hepatocellular carcinoma.
C A Cosenza; L S Sher; B J Poletti; D Tschirhart; H Noguchi; A L Hoffman; R R Lopez; D Lugo; S E Rojter; L Makowka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  65     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-04-13     Completed Date:  1999-04-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  218-21     Citation Subset:  IM    
Comprehensive Liver Disease and Treatment Center and Pathology Department, St. Vincent Medical Center, Los Angeles, California 90057-1974, USA.
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MeSH Terms
Aged, 80 and over
Carcinoma, Hepatocellular / complications*,  secondary*
Colonic Neoplasms / complications*,  secondary*
Gastrointestinal Hemorrhage / etiology*
Liver Neoplasms / pathology*

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