title: Resection for hepatocellular carcinoma with duodenal invasion: report of a case.
abstract: A 73-year-old man was admitted to our hospital on emergency for severe anemia. Upper gastrointestinal endoscopic study revealed a hemorrhagic ulcer in the duodenal bulb. He underwent endoscopic hemostasis. Abdominal ultrasonography and computed tomography showed a huge mass in segment 4 of the liver, growing into the extrahepatic space with direct invasion to the duodenal bulb. Extended left lobectomy and partial gastroduodenectomy was performed, because the endoscopic management of hemostasis was incomplete. He was discharged on the 30th postoperative day. Histopathologically, the tumor cells were moderately differentiated hepatocellular carcinoma with direct invasion to the duodenal mucosa. This report demonstrated the first case with a hepatocellular carcinoma with duodenal invasion, for which hepatic resection was performed successfully.
authors.affiliation: Department of Gastroenterological Surgery, Kyoto University of Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan. etsu@kuhp.kyoto-u.ac.jp
authors.forename: Etsuro
authors.initials: E
authors.lastname: Hatano
authors.forename: Iwao
authors.initials: I
authors.lastname: Ikai
authors.forename: Masaki
authors.initials: M
authors.lastname: Shimizu
authors.forename: Yoji
authors.initials: Y
authors.lastname: Maetani
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Konda
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Chiba
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Terajima
authors.forename: Naritaka
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Shimahara
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yamaoka
mesh_terms: D000368:Aged; D000740:Anemia / Q000209:etiology; D015415:Biomarkers; D014408:Biomarkers, Tumor / Q000097:blood; D006528:Carcinoma, Hepatocellular / Q000097:blood / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D004381:Duodenal Ulcer; D004386:Duodenum / Q000473:pathology*; D016558:Hemostasis, Endoscopic; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000097:blood / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D010438:Peptic Ulcer Hemorrhage / Q000150:complications; D011498:Protein Precursors / Q000097:blood; D011516:Prothrombin
chemical_list: D015415:Biomarkers; D014408:Biomarkers, Tumor; D011498:Protein Precursors; C008208:acarboxyprothrombin; D011516:Prothrombin