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Recurrence of hepatocellular carcinoma presenting as an asymptomatic appendiceal tumor: report of a case

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Abstract

This report presents the case of a 66-year-old male with appendicular metastasis from hepatocellular carcinoma. He had a clinical history of right lobectomy of the liver after the diagnosis of hepatocellular carcinoma 3 years prior, and was admitted because of an asymptomatic appendiceal tumor detected by computed tomography. The appendiceal tumor was preoperatively suspected to be a recurrence of hepatocellular carcinoma, because of the patient’s elevated level of serum α-fetoprotein and protein induced by vitamin K absence or antagonist II, and based on the magnetic resonance imaging findings. An appendectomy was thus performed, and the histopathological findings confirmed the diagnosis of a metastatic tumor from hepatocellular carcinoma. Appendicular metastasis is extremely rare. This is only the second case of a metastatic appendiceal tumor from hepatocellular carcinoma reported in the English literature.

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Authors and Affiliations

  1. Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari-ku, Osaka, 537-8511, Japan

    Shinya Imada, Shingo Noura, Masayuki Ohue, Tatsushi Shingai, Toshinori Sueda, Kunihito Gotoh, Terumasa Yamada, Masahiko Yano & Osamu Ishikawa

  2. Department of Pathology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

    Yasuhiko Tomita

Authors
  1. Shinya Imada
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  2. Shingo Noura
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  3. Masayuki Ohue
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  4. Tatsushi Shingai
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  5. Toshinori Sueda
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  6. Kunihito Gotoh
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  7. Terumasa Yamada
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  8. Yasuhiko Tomita
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  9. Masahiko Yano
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  10. Osamu Ishikawa
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Corresponding author

Correspondence to Shingo Noura.

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Imada, S., Noura, S., Ohue, M. et al. Recurrence of hepatocellular carcinoma presenting as an asymptomatic appendiceal tumor: report of a case. Surg Today 43, 685–689 (2013). https://doi.org/10.1007/s00595-012-0257-y

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  • DOI: https://doi.org/10.1007/s00595-012-0257-y

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