title: Metastatic colorectal cancer in a cirrhotic liver with synchronous hepatocellular carcinoma.
abstract: We are reporting a case of a patient with a previous history of colorectal cancer (CRC) and cirrhosis, who developed concurrent liver lesions consistent with hepatocellular carcinoma (HCC); a case which is unique due to the low incidence of multiple cancers, particularly HCC in the setting of previous advanced colorectal carcinoma along, in a cirrhotic liver. We will review the known literature on multiple cancer rates found in patients with known colorectal carcinoma. We will then outline this particular patient's presentation, followed by a discussion as to why the particular concurrent development of HCC in the setting of previous CRC is of note.
authors.affiliation: 1 New York Medical College, Valhalla, NY 10905, USA ; 2 Emory University, Atlanta, GA 30322, USA ; 3 American University of Beirut, Beirut, Lebanon ; 4 Saint Joseph University, Beirut, Lebanon ; 5 Morehouse School of Medicine, Atlanta, GA 30310, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Karass
authors.affiliation: 1 New York Medical College, Valhalla, NY 10905, USA ; 2 Emory University, Atlanta, GA 30322, USA ; 3 American University of Beirut, Beirut, Lebanon ; 4 Saint Joseph University, Beirut, Lebanon ; 5 Morehouse School of Medicine, Atlanta, GA 30310, USA.
authors.forename: Emily
authors.initials: E
authors.lastname: Grossniklaus
authors.affiliation: 1 New York Medical College, Valhalla, NY 10905, USA ; 2 Emory University, Atlanta, GA 30322, USA ; 3 American University of Beirut, Beirut, Lebanon ; 4 Saint Joseph University, Beirut, Lebanon ; 5 Morehouse School of Medicine, Atlanta, GA 30310, USA.
authors.forename: Talal
authors.initials: T
authors.lastname: Seoud
authors.affiliation: 1 New York Medical College, Valhalla, NY 10905, USA ; 2 Emory University, Atlanta, GA 30322, USA ; 3 American University of Beirut, Beirut, Lebanon ; 4 Saint Joseph University, Beirut, Lebanon ; 5 Morehouse School of Medicine, Atlanta, GA 30310, USA.
authors.forename: Ralph
authors.initials: R
authors.lastname: Kamel
authors.affiliation: 1 New York Medical College, Valhalla, NY 10905, USA ; 2 Emory University, Atlanta, GA 30322, USA ; 3 American University of Beirut, Beirut, Lebanon ; 4 Saint Joseph University, Beirut, Lebanon ; 5 Morehouse School of Medicine, Atlanta, GA 30310, USA.
authors.forename: Oluwadamilola
authors.initials: O
authors.lastname: Teniola
authors.affiliation: 1 New York Medical College, Valhalla, NY 10905, USA ; 2 Emory University, Atlanta, GA 30322, USA ; 3 American University of Beirut, Beirut, Lebanon ; 4 Saint Joseph University, Beirut, Lebanon ; 5 Morehouse School of Medicine, Atlanta, GA 30310, USA.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Oprea
authors.affiliation: 1 New York Medical College, Valhalla, NY 10905, USA ; 2 Emory University, Atlanta, GA 30322, USA ; 3 American University of Beirut, Beirut, Lebanon ; 4 Saint Joseph University, Beirut, Lebanon ; 5 Morehouse School of Medicine, Atlanta, GA 30310, USA.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Goldstein
authors.affiliation: 1 New York Medical College, Valhalla, NY 10905, USA ; 2 Emory University, Atlanta, GA 30322, USA ; 3 American University of Beirut, Beirut, Lebanon ; 4 Saint Joseph University, Beirut, Lebanon ; 5 Morehouse School of Medicine, Atlanta, GA 30310, USA.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Jain
keywords: Colorectal cancer (CRC); cancer; cirrhosis; hepatocellular carcinoma (HCC); metastases; metastatic; oncology