[A case of partial hepatectomy and gastrectomy for hepatocellular carcinoma with direct invasion to the stomach].
An 81-year-old man treated with chronic hepatitis C virus (HCV)-related hepatitis and hepatocellular carcinoma (HCC) was diagnosed in 2010 with HCC recurrence (subclass S2) on computed tomography (CT). He refused surgery and was followed up without treatment. In 2012, he was admitted to our hospital because of hematemesis. Gastrointestinal endoscopy revealed a large tumor in the upper gastric corpus, and pathological examination of the tumor revealed HCC; hence, we diagnosed the patient with direct HCC invasion to the stomach. Although active bleeding from the tumor was controlled, he experienced repeated episodes of hematemesis, and the tumor increased in size. Therefore, partial hepatectomy and gastrectomy were performed. It was confirmed that the tumor invaded the stomach wall. Although surgery was effective for gastrointestinal bleeding caused by HCC invasion, the patient died 12 months after surgery because of multiple liver metastases and exacerbated liver failure.
Dept. of Surgery, Osaka Rosai Hospital.
Yuta
Y
Yoshida
Masahiro
M
Murakami
Junzo
J
Shimizu
Masahiro
M
Kawada
Akinobu
A
Yasuyama
Yukihiro
Y
Yoshikawa
Chikashi
C
Watase
Takahiko
T
Nishigaki
Ho Min
HM
Kim
Toshiki
T
Hitora
Naofumi
N
Oda
Masaki
M
Hirota
Masato
M
Yoshikawa
Hirotaka
H
Morishima
Masakazu
M
Ikenaga
Shoki
S
Mikata
Nobuteru
N
Matsunami
Junichi
J
Hasegawa
D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000556:secondary / Q000601:surgery*; D017809:Fatal Outcome; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D013270:Stomach / Q000473:pathology*; D013274:Stomach Neoplasms / Q000556:secondary / Q000601:surgery*