An autopsy revealing hepatocellular carcinoma with solitary metastatic gastric cancer
Nishio, M.; Tanabashi, S.; Naganawa, S.; Matsuda, M.; Kametani, M.; Tokimitsu, N.; Kanai, N.
Gan no Rinsho. Japan Journal of Cancer Clinics 35(2): 298-304
1989
ISSN/ISBN: 0021-4949 PMID: 2468000 Document Number: 329558
This case concerns a 61-year-old man who had been determined as having rt-hypochondrialgia. The plasma AFP was found to have increased and an abdominal-CT revealed multiple low density areas in the liver. Endoscopic examination of the stomach revealed a Borrmann type III cancer and the specimens taken by punch biopsy demonstrated a tubular adenocarcinoma. Therefore, he had been diagnosed as having a gastric cancer with a metastatic liver cancer, or double cancer. Histologically, liver tumor proved to be a hepatocellular carcinoma (Edmondson: Gr III), and the histological findings of the gastric tumor was found to be identical with that of the liver tumor. The fact that this case has esophageal varices during the course of the disease suggested that metastasis to the stomach has likely occurred through the portal vein system.