| 간세포암의 십이지장 직접전이에 의한 상부 위장관 출혈 1예 |
| 정경아·김현진·최순필·하종·임병렬·김태효·이옥재 |
| 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 |
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| Abstract |
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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;33:298302) |
| Key Words:
Hepatocellular carcinoma, Metastasis, Hemorrhage, Duodenum |
| 주요어:
간세포암, 십이지장, 전이, 출혈 |
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