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CASE REPORT: Radiotherapy in the treatment of duodenal bleeding due to hepatocellular carcinoma invasion
Author(s) -
HUNG HUNGCHANG,
HUANG YISHIN,
LIN CHENCHUN,
CHAO YEE,
CHI KWANHWA,
YEN SANGHUE,
CHANG FULLYOUNG
Publication year - 1998
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/j.1440-1746.1998.tb00591.x
Subject(s) - medicine , hepatocellular carcinoma , duodenum , gastrointestinal bleeding , upper gastrointestinal bleeding , radiation therapy , external beam radiotherapy , pathological , gastrointestinal tract , gastroenterology , radiology , surgery , endoscopy , brachytherapy
Haemorrhage from an hepatocellular carcinoma (HCC) directly invading the gastrointestinal (GI) tract is uncommon. A 58‐year‐old man was admitted with upper gastrointestinal (UGI) bleeding and panendoscopy on examination revealed a large duodenal ulcerative bleeding mass. The mass was eventually diagnosed as HCC by pathological examination. The bleeding failed to respond to conventional management of haemostasis, but resolved with an external beam of radiotherapy with a total dose of 6000 cGy over a 5 week period. This unusual presentation of UGI bleeding, due to HCC invading the duodenum and treated by radiotherapy, has not been previously reported.