A case of partial hepatectomy and gastrectomy for hepatocellular carcinoma with direct invasion to the stomach
Yoshida, Y.; Murakami, M.; Shimizu, J.; Kawada, M.; Yasuyama, A.; Yoshikawa, Y.; Watase, C.; Nishigaki, T.; Kim, H.M.; Hitora, T.; Oda, N.; Hirota, M.; Yoshikawa, M.; Morishima, H.; Ikenaga, M.; Mikata, S.; Matsunami, N.; Hasegawa, J.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 41(12): 2122-2123
2014
ISSN/ISBN: 0385-0684 PMID: 25731443 Document Number: 676682
An 81-year-old man treated with chronic hepatitis C virus (HCV)-related hepatitis and hepatocellular carcinoma (HCC) was diagnosed in 2010 with HCC recurrence (subclass S2) on computed tomography (CT). He refused surgery and was followed up without treatment. In 2012, he was admitted to our hospital because of hematemesis. Gastrointestinal endoscopy revealed a large tumor in the upper gastric corpus, and pathological examination of the tumor revealed HCC; hence, we diagnosed the patient with direct HCC invasion to the stomach. Although active bleeding from the tumor was controlled, he experienced repeated episodes of hematemesis, and the tumor increased in size. Therefore, partial hepatectomy and gastrectomy were performed. It was confirmed that the tumor invaded the stomach wall. Although surgery was effective for gastrointestinal bleeding caused by HCC invasion, the patient died 12 months after surgery because of multiple liver metastases and exacerbated liver failure.