An unexpected invader: metastatic hepatocarcinoma invading the stomach

We present the case of a 65-year-old man with a history of alcoholic liver disease and hepatocellular carcinoma (HCC) treated with transarterial chemoembolization three years ago, with no follow-up. He presented to the emergency department with abdominal pain, weight loss, melena, and hematemesis. E...

Full description

Saved in:
Bibliographic Details
Main Authors: Cesar Ramos-Matamoros, Luis A. Gonzalez-Torres, María F. Castillo-Martínez, José A. González-González
Format: Article
Language:English
Published: Permanyer 2025-01-01
Series:Endoscopia
Subjects:
Online Access:http://endoscopia-ameg.com/frame_esp.php?id=220
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We present the case of a 65-year-old man with a history of alcoholic liver disease and hepatocellular carcinoma (HCC) treated with transarterial chemoembolization three years ago, with no follow-up. He presented to the emergency department with abdominal pain, weight loss, melena, and hematemesis. Endoscopy showed a mass infiltrating the lesser curvature of the stomach, confirmed by biopsy as metastatic HCC. CT scan revealed HCC infiltration into the stomach. The patient was discharged voluntarily and was lost to follow-up. HCC invades the gastrointestinal tract in 0.2-2% of cases, and treatment could include surgery and systemic therapy.
ISSN:2444-6483