Metastasis of Hepatocellular Carcinoma to the Esophagus: Case Report and Review

Jun-ichiro Harada; Takeshi Matsutani; Nobutoshi Hagiwara; Yoichi Kawano; Akihisa Matsuda; Nobuhiko Taniai; Tsutomu Nomura; Eiji Uchida

doi:10.1155/2018/8685371

Case Reports in Surgery (Jan 2018)

Metastasis of Hepatocellular Carcinoma to the Esophagus: Case Report and Review

Jun-ichiro Harada,
Takeshi Matsutani,
Nobutoshi Hagiwara,
Yoichi Kawano,
Akihisa Matsuda,
Nobuhiko Taniai,
Tsutomu Nomura,
Eiji Uchida

Affiliations

Jun-ichiro Harada: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Takeshi Matsutani: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Nobutoshi Hagiwara: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Yoichi Kawano: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Akihisa Matsuda: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Nobuhiko Taniai: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Tsutomu Nomura: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Eiji Uchida: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan

DOI: https://doi.org/10.1155/2018/8685371
Journal volume & issue: Vol. 2018

Abstract

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A follow-up endoscopy in a 71-year-old Japanese man who had undergone a left lateral segmentectomy for HCC two years ago revealed an approximately 2 cm in diameter pedunculated polypoid mass in the middle part of the thoracic esophagus. Immunohistochemical staining of the endoscopic biopsy revealed a metastatic HCC esophageal tumor. As the patient’s disease could be radically removed by preoperative examinations, we resected the metastatic esophageal tumor via right thoracotomy and esophagogastrostomy reconstruction. Histological examination of the resected specimen revealed that the esophageal tumor was compatible with a HCC metastasis. This is an extremely rare case of a solitary metastasis to the esophagus from HCC in the literature.

Published in Case Reports in Surgery

ISSN: 2090-6900 (Print); 2090-6919 (Online)
Publisher: Hindawi Limited
Country of publisher: United Kingdom
LCC subjects: Medicine: Surgery
Website: https://onlinelibrary.wiley.com/journal/4629

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