Unusual Metastasis of Hepatocellular Carcinoma to the Esophagus

Eiji TSUBOUCHI; Shoji HIRASAKI; Junro KATAOKA; Satoshi HIDAKA; Takeshi KAJIWARA; Yuusuke YAMAUCHI; Toshikazu MASUMOTO; Ichinosuke HYODO

doi:10.2169/internalmedicine.44.444

CASE REPORTS

Unusual Metastasis of Hepatocellular Carcinoma to the Esophagus

Eiji TSUBOUCHI, Shoji HIRASAKI, Junro KATAOKA, Satoshi HIDAKA, Takeshi KAJIWARA, Yuusuke YAMAUCHI, Toshikazu MASUMOTO, Ichinosuke HYODO

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Keywords: hepatocellular carcinoma, hematogenous metastasis, esophageal varix, gastric invasion, esophageal metastasis

JOURNAL OPEN ACCESS

2005 Volume 44 Issue 5 Pages 444-447

DOI https://doi.org/10.2169/internalmedicine.44.444

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Abstract

This report describes a case of metastatic hepatocellular carcinoma (HCC) presenting as a polypoid mass in the lower esophagus. The patient was a 63-year-old man with HCC. An endoscopic examination revealed a pedunculated polypoid mass, about 3 cm in diameter, at the lower part of the esophagus. The biopsy specimen obtained from the tumor revealed that the mass consisted of a pseudoglandular arrangement of tumor cells, and the tumor was diagnosed as metastatic HCC. There were no symptoms due to esophageal tumor. He died of progressive hepatic failure. Cases of premortem-diagnosed esophageal metastasis from HCC are extremely rare.

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