Open AccessPedunculated hepatocellular carcinoma and splenicmetastasis
Author(s) -
Mao-Lin Yan,
Yaodong Wang,
Zhi-De Lai,
Yi-feng Tian,
Hongbiao Chen,
Funan Qiu,
Songqiang Zhou
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.5239
Subject(s) - hepatocellular carcinoma , spleen , medicine , metastasis , pathology , lymph , bone marrow , carcinoma , kidney , cancer
Only a few cases of pedunculated hepatocellular carcinoma (P-HCC) have been reported in the literature. The common sites of extrahepatic metastases in patients with HCC are the lungs, regional lymph nodes, kidney, bone marrow and adrenals. Metastasis to spleen is mostly via hematogenous metastasis, direct metastasis to spleen was very rare. We report a case of P-HCC presenting as a left upper abdominal lesions which involved the spleen that was actually a P-HCC with splenic metastasis. This case is unique as P-HCC directly involved the spleen which is not via hematogenous metastasis.