Carcinoma of the colon with synchronous hepatic metastasis in a cirrhotic liver harboring a hepatocellular carcinoma.
Tumor metastasis to a cirrhotic liver is rare. It has been suggested that colorectal cancer does not metastasize to the cirrhotic liver. We reported a 65 year-old man, a known carrier of hepatitis B surface antigen, diagnosed to have hepatocellular carcinoma with routine screening. A partial hepatectomy with resection of segments VI and VII was performed. The hepatectomy specimen revealed a 4.5 cm diameter HCC in a cirrhotic liver. Incidentally, 0.8 cm diameter ulcer at the descending colon. Histological examination of the left hemicolectomy specimen showed a moderately differentiated adenocarcinoma.
Siu
D C
DC
Department of Surgery, University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong.
Lam
C M
CM
Yuen
S T
ST
Fan
S T
ST
D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology / Q000556:secondary*; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000473:pathology; D002353:Carrier State; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology*; D006509:Hepatitis B / Q000150:complications; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008113:Liver Neoplasms / Q000150:complications / Q000556:secondary*; D008297:Male; D009378:Neoplasms, Multiple Primary