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Hepatocellular carcinoma with gastric metastasis treated by simultaneous hepatic and gastric resection: report of a case

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Abstract

Hepatocellular carcinoma (HCC) with gastric metastasis is extremely rare. There have been few reports on curative surgical resection for gastric metastasis of HCC. We herein report such a case successfully treated by simultaneous surgical resection. A 73-year-old male was admitted for evaluation and treatment of a liver tumor. Computed tomography showed an exophytic tumor of 170 mm in diameter located in the left lobe of the liver with poor delineation to the gastric wall. Upper gastrointestinal endoscopy revealed a submucosal tumor with ulceration in the antrum of the stomach. With a diagnosis of HCC with invasion to the gastric wall, an en bloc resection was planned, and the patient underwent laparotomy. The patients underwent left hemihepatectomy with partial resection of the stomach for adhesion and distal gastrectomy for the tumor. Pathological examination of the liver tumor revealed poorly differentiated HCC, and pathological diagnosis of the tumor in the submucosal and muscular layer of the stomach was compatible with metastasis from HCC, which was separate from the liver tumor. Therefore, we diagnosed the tumor as HCC with hematogenous gastric metastasis. The patient remains well with no evidence of tumor recurrence as of 13 months after resection.

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Authors and Affiliations

  1. Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan

    Koichiro Haruki, Takeyuki Misawa, Takeshi Gocho, Ryota Saito & Tadashi Akiba

  2. Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8461, Japan

    Koichiro Haruki, Takeyuki Misawa, Takeshi Gocho, Ryota Saito, Hiroaki Shiba, Tadashi Akiba & Katsuhiko Yanaga

Authors
  1. Koichiro Haruki
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  2. Takeyuki Misawa
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  3. Takeshi Gocho
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  4. Ryota Saito
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  5. Hiroaki Shiba
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  6. Tadashi Akiba
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  7. Katsuhiko Yanaga
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Correspondence to Koichiro Haruki.

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The authors declare that they have no conflict of interest.

Human/animal rights:

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).

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Informed consent was obtained from all patients to be included in the study.

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Haruki, K., Misawa, T., Gocho, T. et al. Hepatocellular carcinoma with gastric metastasis treated by simultaneous hepatic and gastric resection: report of a case. Clin J Gastroenterol 9, 319–323 (2016). https://doi.org/10.1007/s12328-016-0677-0

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  • DOI: https://doi.org/10.1007/s12328-016-0677-0

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