title: Pedunculated hepatocellular carcinoma and splenic metastasis.
abstract: Only a few cases of pedunculated hepatocellular carcinoma (P-HCC) have been reported in the literature. The common sites of extrahepatic metastases in patients with HCC are the lungs, regional lymph nodes, kidney, bone marrow and adrenals. Metastasis to spleen is mostly via hematogenous metastasis, direct metastasis to spleen was very rare. We report a case of P-HCC presenting as a left upper abdominal lesions which involved the spleen that was actually a P-HCC with splenic metastasis. This case is unique as P-HCC directly involved the spleen which is not via hematogenous metastasis.
authors.affiliation: Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China.
authors.forename: Mao-Lin
authors.initials: ML
authors.lastname: Yan
authors.forename: Yao-Dong
authors.initials: YD
authors.lastname: Wang
authors.forename: Zhi-De
authors.initials: ZD
authors.lastname: Lai
authors.forename: Yi-Feng
authors.initials: YF
authors.lastname: Tian
authors.forename: Hong-Biao
authors.initials: HB
authors.lastname: Chen
authors.forename: Fu-Nan
authors.initials: FN
authors.lastname: Qiu
authors.forename: Song-Qiang
authors.initials: SQ
authors.lastname: Zhou
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008297:Male; D013160:Splenic Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D016896:Treatment Outcome