title: Diffuse Liver Metastasis of Small-Cell Lung Cancer Presenting as Acute Liver Failure and Diagnosed by Transjugular Liver Biopsy: A Rare Case in Whom Nodular Lesions Were Detected by Enhanced CT Examination.
abstract: Small-cell lung cancer (SCLC) is a subgroup of lung cancer with a high frequency of liver metastasis, which is a predictor of poor prognosis. Diffuse liver metastases of SCLC with no visible nodular lesions in the liver when examined using computed tomography (CT) are relatively rare; however, a few cases with rapid progression to acute liver failure that were diagnosed after death have been reported. In this paper, we report a 63-year-old man with diffuse liver metastases of SCLC that were histologically diagnosed using a transjugular liver biopsy while the patient was alive, even though no lesions were visible during a contrast-enhanced CT examination.
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Mishima
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Nozaki
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Mikami
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: E
authors.initials: E
authors.lastname: Kihira
authors.affiliation: Department of Respiratory Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Iikura
authors.affiliation: Department of Respiratory Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: R
authors.initials: R
authors.lastname: Koketsu
authors.affiliation: Department of Respiratory Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Sugiyama
authors.affiliation: Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Masuda
authors.affiliation: Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Kaname
authors.affiliation: Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Egami
authors.affiliation: Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Nakayama
authors.affiliation: Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Hasuo
authors.affiliation: Department of Pathology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Nakamura
authors.affiliation: Department of Pathology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Igari
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Watanabe
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Nagata
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Sakurai
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: C
authors.initials: C
authors.lastname: Yokoi
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Kobayakawa
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kojima
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Akiyama
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Imamura
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Masaki
authors.affiliation: Department of Gastroenterology, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Yanase
keywords: Acute liver failure; Diffuse liver metastasis; Small-cell lung cancer