Polypoid metastatic hepatocellular carcinoma of the esophagus occurring after endoscopic variceal band ligation

Endoscopy. 2000 May;32(5):419-21. doi: 10.1055/s-2000-13269.

Abstract

This report describes a rare case of metastatic hepatocellular carcinoma (HCC) presenting as a polypoid mass in the lower esophagus after endoscopic variceal band ligation (EVL). A 56-year-old man underwent EVL for variceal bleeding in September 1993. He presented with dysphagia and tarry stool in December 1993. An endoscopic examination revealed a semipedunculated polypoid mass at the lower part of the esophagus, where EVL had been performed 3 months previously. The histologic examination at autopsy revealed that the polypoid mass consisted of metastatic HCC that had spread via the retrograde portal flow.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Carcinoma, Hepatocellular / diagnostic imaging
  • Carcinoma, Hepatocellular / secondary*
  • Esophageal Neoplasms / diagnostic imaging
  • Esophageal Neoplasms / secondary*
  • Esophageal and Gastric Varices / diagnostic imaging
  • Esophageal and Gastric Varices / surgery*
  • Esophagoscopy / adverse effects*
  • Fatal Outcome
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / surgery*
  • Humans
  • Ligation / methods
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / pathology*
  • Male
  • Middle Aged
  • Neoplasm Seeding*
  • Tomography, X-Ray Computed