title: Hepatic Angiosarcoma Associated with Esophageal Variceal Hemorrhage.
abstract: Primary hepatic angiosarcoma is a very rare malignancy with a poor prognosis. Because patients present with no specific symptoms, the cancer can grow undetected and most cases are diagnosed too late for resection. We present the case of a 78-year-old Japanese man admitted to our hospital with massive hematemesis and melena. A total gastrectomy had previously been performed on the patient to treat gastric cancer. Endoscopic injection sclerotherapy was performed to control the bleeding from varices over the anastomosis. Computed tomography revealed the presence of multiple atypical liver nodules in the enhanced image. Histological diagnosis of hepatic angiosarcoma was obtained by percutaneous ultrasound-guided liver biopsy. To our knowledge, this is the first report of a patient with hepatic angiosarcoma and acute variceal hemorrhage.
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Zensho
authors.initials: Z
authors.lastname: Ito
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Mikio
authors.initials: M
authors.lastname: Kajihara
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Yasunobu
authors.initials: Y
authors.lastname: Kobayashi
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Tomoya
authors.initials: T
authors.lastname: Kanai
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Matsumoto
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Takakura
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Toyokazu
authors.initials: T
authors.lastname: Yukawa
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Ohkusa
authors.affiliation: Department of Gastrointestinal Endoscopy, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Seita
authors.initials: S
authors.lastname: Koyama
authors.affiliation: Department of Gastrointestinal Endoscopy, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Hiroo
authors.initials: H
authors.lastname: Imazu
authors.affiliation: Department of Gastrointestinal Endoscopy, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Arakawa
authors.affiliation: Department of Internal Medicine, Hiranuma Clinic, Yokohama, Japan.
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Ohata
authors.affiliation: Department of Gastroenterology and Hepatology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
authors.forename: Shigeo
authors.initials: S
authors.lastname: Koido
keywords: Endoscopic injection sclerotherapy; Esophageal variceal hemorrhage; Hepatic angiosarcoma