title: Polypoid metastatic hepatocellular carcinoma of the esophagus occurring after endoscopic variceal band ligation.
abstract: This report describes a rare case of metastatic hepatocellular carcinoma (HCC) presenting as a polypoid mass in the lower esophagus after endoscopic variceal band ligation (EVL). A 56-year-old man underwent EVL for variceal bleeding in September 1993. He presented with dysphagia and tarry stool in December 1993. An endoscopic examination revealed a semipedunculated polypoid mass at the lower part of the esophagus, where EVL had been performed 3 months previously. The histologic examination at autopsy revealed that the polypoid mass consisted of metastatic HCC that had spread via the retrograde portal flow.
authors.affiliation: Third Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine, Kitakyusyu, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Kume
authors.forename: I
authors.initials: I
authors.lastname: Murata
authors.forename: I
authors.initials: I
authors.lastname: Yoshikawa
authors.forename: K
authors.initials: K
authors.lastname: Kanagawa
authors.forename: M
authors.initials: M
authors.lastname: Otsuki
mesh_terms: D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000556:secondary*; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000601:surgery*; D004945:Esophagoscopy / Q000009:adverse effects*; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009366:Neoplasm Seeding; D014057:Tomography, X-Ray Computed