Jejunal Metastasis from Hepatocellular Carcinoma
| Autor: | Masakazu Nakano, Mimari Kanazawa, Takeshi Sugaya, Fumiaki Takahashi, Keiichi Tominaga, Hideyuki Hiraishi, Kazuhiro Takenaka |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Sorafenib
Enteroscopy Male medicine.medical_specialty Carcinoma Hepatocellular Biopsy Case Report Gastroenterology Jejunal Neoplasm 03 medical and health sciences 0302 clinical medicine Melena Double-balloon enteroscopy Internal medicine Internal Medicine medicine Humans jejunum Transcatheter arterial chemoembolization Aged Double-Balloon Enteroscopy medicine.diagnostic_test Jejunal Neoplasms business.industry Liver Neoplasms General Medicine hepatocellular carcinoma medicine.disease digestive system diseases 030220 oncology & carcinogenesis Hepatocellular carcinoma 030211 gastroenterology & hepatology medicine.symptom business medicine.drug |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 |
| Popis: | A 76-year-old man with hepatocellular carcinoma associated with alcoholic cirrhosis was hospitalized for lightheadedness and melena. He had undergone multiple surgeries and had been treated with transcatheter arterial chemoembolization and sorafenib. Neither upper nor lower gastrointestinal endoscopy detected the source of bleeding. Oral double-balloon enteroscopy revealed a mass lesion in the upper jejunum, 20 cm from the Treitz ligament on the anal side, which was identified as the source of bleeding. Subsequently, a biopsy was performed. A histopathological examination detected a hepatocellular carcinoma, and a final diagnosis of jejunal metastasis from hepatocellular carcinoma was established. |
| Databáze: | OpenAIRE |
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