title: Unusual metastasis of hepatocellular carcinoma to the esophagus.
abstract: This report describes a case of metastatic hepatocellular carcinoma (HCC) presenting as a polypoid mass in the lower esophagus. The patient was a 63-year-old man with HCC. An endoscopic examination revealed a pedunculated polypoid mass, about 3 cm in diameter, at the lower part of the esophagus. The biopsy specimen obtained from the tumor revealed that the mass consisted of a pseudoglandular arrangement of tumor cells, and the tumor was diagnosed as metastatic HCC. There were no symptoms due to esophageal tumor. He died of progressive hepatic failure. Cases of premortem-diagnosed esophageal metastasis from HCC are extremely rare.
authors.affiliation: Department of Internal Medicine, Shikoku Cancer Center, Matsuyama, Japan.
authors.forename: Eiji
authors.initials: E
authors.lastname: Tsubouchi
authors.forename: Shoji
authors.initials: S
authors.lastname: Hirasaki
authors.forename: Junro
authors.initials: J
authors.lastname: Kataoka
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hidaka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kajiwara
authors.forename: Yuusuke
authors.initials: Y
authors.lastname: Yamauchi
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Masumoto
authors.forename: Ichinosuke
authors.initials: I
authors.lastname: Hyodo
mesh_terms: D001706:Biopsy; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary*; D003937:Diagnosis, Differential; D019160:Endosonography; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000556:secondary*; D004945:Esophagoscopy; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed