Metastatic Periampullary Tumor from Hepatocellular Carcinoma Presenting as Gastrointestinal Bleeding
Joint Authors
Kashani, Amir
Nissen, Nicholas N.
Guindi, Maha
Jamil, Laith H.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Periampullary tumors constitute a number of diverse neoplastic lesions located within 2 cm of the major duodenal papilla; among these, metastatic lesions account for only a small proportion of the periampullary tumors.
To our knowledge, a metastatic periampullary tumor from hepatocellular carcinoma has never been reported.
A 62-year-old male reported to our institute for fatigue and low hemoglobin.
His medical history was remarkable for multifocal hepatocellular carcinoma (HCC) treated with selective transcatheter arterial chemoembolization (TACE).
An esophagogastroduodenoscopy (EGD) was performed which revealed a periampullary mass.
Histopathology was consistent with metastatic moderately differentiated HCC.
Two endoloops were deployed around the base of the mass one month apart.
The mass eventually sloughed off and patient’s hemoglobin level stabilized.
We postulated that periampullary metastasis in this patient was the result of tumor fragments migration through the biliary tracts and that TACE which increases tumor fragments burden might have played a contributory role.
Metastasis of HCC to the gastrointestinal (GI) tract should be considered as a cause of GI bleeding.
American Psychological Association (APA)
Kashani, Amir& Nissen, Nicholas N.& Guindi, Maha& Jamil, Laith H.. 2015. Metastatic Periampullary Tumor from Hepatocellular Carcinoma Presenting as Gastrointestinal Bleeding. Case Reports in Gastrointestinal Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058562
Modern Language Association (MLA)
Kashani, Amir…[et al.]. Metastatic Periampullary Tumor from Hepatocellular Carcinoma Presenting as Gastrointestinal Bleeding. Case Reports in Gastrointestinal Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058562
American Medical Association (AMA)
Kashani, Amir& Nissen, Nicholas N.& Guindi, Maha& Jamil, Laith H.. Metastatic Periampullary Tumor from Hepatocellular Carcinoma Presenting as Gastrointestinal Bleeding. Case Reports in Gastrointestinal Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058562
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058562