title: Metastatic Gastric Adenocarcinoma in Cirrhosis.
abstract: We report the case of a woman with a new diagnosis of gastric adenocarcinoma that was found to have multifocal hepatic metastasis on routine diagnostic transjugular liver biopsy. The finding of metastatic disease in a background of cirrhosis is an unexpected finding that has negative treatment implications regarding use of cytotoxic chemotheraputic agents.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Chicago, Chicago, IL.
authors.forename: Dejan
authors.initials: D
authors.lastname: Micic
authors.affiliation: Virginia Tech Carilion School of Medicine, Roanoke, VA.
authors.forename: Matthew B
authors.initials: MB
authors.lastname: Levine
authors.affiliation: Department of Pathology, University of Chicago, Chicago, IL.
authors.forename: Lei
authors.initials: L
authors.lastname: Zhao
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Chicago, Chicago, IL.
authors.forename: K Gautham
authors.initials: KG
authors.lastname: Reddy