Abstract
Metastatic small intestinal tumor is relatively rare, and only a few reports have been published. It is diagnosed after presentation with bleeding, perforation, ileus, or intussusception. Since these cases are often complicated with other distant metastases, it has been shown to have a poor prognosis. We encountered two cases of metastatic small intestinal tumor of hepatocellular carcinoma (HCC) that were treated with surgical resection. Case 1 : A 72-year-old man underwent extended left lobectomy of the liver for HCC 6 years ago. He was diagnosed with an intussusception due to a small intestinal tumor, and partial resection of the small intestine was performed. Case 2 : A 72-year-old man underwent extended left lobectomy of the liver for HCC 3 years ago. He developed severe anemia due to bleeding from the small intestinal tumors, and partial resection of the small intestine was performed. Pathological findings revealed that in both cases these tumors were metastatic tumors originating from HCC. The patients in both cases were able to start oral intake soon after the operation. Surgical treatment for metastatic intestinal tumors can be considered a useful intervention for improving quality of life.
