title: [A case of hepatocellular carcinoma with a duodenal invasion from metastatic lymph node].
abstract: A 64-year-old male, who had been diagnosed as having hepatocellular carcinoma, was admitted to hospital and underwent transcatheter arterial infusion therapy. CT and US examinations revealed a large tumor with air in its center. Barium meal examination of the duodenum showed a large filling defect with a central excavation. At endoscopic examination, a dark reddish tumor was seen protruding into the duodenal lumen. A biopsy specimen from this tumor revealed a hepatocellular carcinoma. The patient subsequently died of hepatic coma following gastrointestinal bleeding. An autopsy revealed that metastatic lymph nodes had infiltrated into the adjacent duodenum. Nine previous cases of duodenal metastasis from a hepatocellular carcinoma have been reported in the Japanese literature.
authors.affiliation: Dept. of Radiology, Medicine, Gifu Univ. School of Med.
authors.forename: Y
authors.initials: Y
authors.lastname: Sone
authors.forename: T
authors.initials: T
authors.lastname: Imaeda
authors.forename: M
authors.initials: M
authors.lastname: Suzuki
authors.forename: Y
authors.initials: Y
authors.lastname: Yamawaki
authors.forename: K
authors.initials: K
authors.lastname: Hirota
authors.forename: H
authors.initials: H
authors.lastname: Gotoh
authors.forename: M
authors.initials: M
authors.lastname: Seki
authors.forename: G
authors.initials: G
authors.lastname: Iinuma
authors.forename: H
authors.initials: H
authors.lastname: Doi
authors.forename: K
authors.initials: K
authors.lastname: Kawada
mesh_terms: D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D004379:Duodenal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary*; D004384:Duodenoscopy; D004386:Duodenum / Q000473:pathology; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography