Hepatocellular carcinoma metastatic to the stomach presenting as bleeding multiple craterogenic ulcers.
A patient with previous resection of primary hepatocellular carcinoma developed upper intestinal bleeding. Pinch biopsy and needle aspiration biopsy of a submucosal antral lesion seen at endoscopy yielded metastatic hepatoma. We believe this to be the first report of the endoscopic appearance of a submucosal tumor. Currently available methods of tissue diagnosis are discussed.
Lynch
P
P
Department of Medicine, Veterans Administration Medical Center, Houston, Texas.
Green
L
L
Jordan
P H
PH
Graham
D Y
DY
D000368:Aged; D001707:Biopsy, Needle; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008113:Liver Neoplasms; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology*; D013274:Stomach Neoplasms / Q000150:complications / Q000473:pathology / Q000556:secondary*; D013276:Stomach Ulcer / Q000209:etiology*