Resection for hepatocellular carcinoma with duodenal invasion: report of a case

Hepatogastroenterology. 2003 Jul-Aug;50(52):1034-6.

Abstract

A 73-year-old man was admitted to our hospital on emergency for severe anemia. Upper gastrointestinal endoscopic study revealed a hemorrhagic ulcer in the duodenal bulb. He underwent endoscopic hemostasis. Abdominal ultrasonography and computed tomography showed a huge mass in segment 4 of the liver, growing into the extrahepatic space with direct invasion to the duodenal bulb. Extended left lobectomy and partial gastroduodenectomy was performed, because the endoscopic management of hemostasis was incomplete. He was discharged on the 30th postoperative day. Histopathologically, the tumor cells were moderately differentiated hepatocellular carcinoma with direct invasion to the duodenal mucosa. This report demonstrated the first case with a hepatocellular carcinoma with duodenal invasion, for which hepatic resection was performed successfully.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anemia / etiology
  • Biomarkers*
  • Biomarkers, Tumor / blood
  • Carcinoma, Hepatocellular / blood
  • Carcinoma, Hepatocellular / complications
  • Carcinoma, Hepatocellular / pathology*
  • Carcinoma, Hepatocellular / surgery*
  • Digestive System Surgical Procedures
  • Duodenal Ulcer
  • Duodenum / pathology*
  • Hemostasis, Endoscopic
  • Hepatectomy*
  • Humans
  • Liver Neoplasms / blood
  • Liver Neoplasms / complications
  • Liver Neoplasms / pathology*
  • Liver Neoplasms / surgery*
  • Male
  • Neoplasm Invasiveness
  • Peptic Ulcer Hemorrhage / complications
  • Protein Precursors / blood
  • Prothrombin

Substances

  • Biomarkers
  • Biomarkers, Tumor
  • Protein Precursors
  • acarboxyprothrombin
  • Prothrombin