Journal of Gastroenterology

, Volume 30, Issue 4, pp 529–533 | Cite as

Venous tumor thrombosis and cavernous transformation of the portal vein in a patient with gastric carcinoma

  • Mami Ishikawa
  • Shohei Koyama
  • Tadashi Ikegami
  • Hisayuki Fukutomi
  • Takeshi Gohongi
  • Kenji Yuzawa
  • Katashi Fukao
  • Masachika Fujiwara
  • Keiji Fujii
Case Report

Abstract

A case of extensive extra-and intrahepatic portal tumor thrombosis, with no metastatic foci in liver parenchyma, secondary to advanced gastric carcinoma in a 69-year-old man is reported. The portal tumor thrombosis was characterized by enlargement of the thrombosed segment of the vein, decreased density mass without intraluminal enhancement of the involved vein, nonvisualization of the portal venous branch in the involved lobe, and the so-called cavernous transformation of the portal vein. The surgically resected gastric specimen showed Borrmann type 3 advanced papillary adenocarcinoma. The portal tumor thrombus is presumed to have arisen from vascular invasion in the primary foci of gastric carcinoma, and then to have permeated the portal vein without invasion of liver parenchyma.

Key Words

tumor thrombosis portal vein gastric carcinoma 

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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • Mami Ishikawa
    • 1
  • Shohei Koyama
    • 1
  • Tadashi Ikegami
    • 1
  • Hisayuki Fukutomi
    • 1
  • Takeshi Gohongi
    • 2
  • Kenji Yuzawa
    • 2
  • Katashi Fukao
    • 2
  • Masachika Fujiwara
    • 3
  • Keiji Fujii
    • 3
  1. 1.Department of Internal Medicine Institute of Clinical MedicineUniversity of TsukubaTsukuba, IbarakiJapan
  2. 2.Department of Surgery, Institute of Clinical MedicineUniversity of TsukubaTsukuba, IbarakiJapan
  3. 3.Department of Pathology, Institute of Basic Medical ScienceUniversity of TsukubaTsukuba, IbarakiJapan

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