Hepatocellular Carcinoma Invading the Stomach Presented as Gastrontestinal Bleeding: Report of a Case

肝細胞癌之胃侵犯合併上胃腸道出血：一病例報告

蔡奇璋(Chi-Chang Tsai) ； 薛肇文(Jaw-Wen Shiue) ； 黎國洪(Kwok-Hung Lai) ； 文士祺(Shi-Chi Wen) ； 劉永豐(Yung-Feng Liu) ； 李台民(Tai-Min Lee)

《中華民國消化系醫學雜誌》 14卷1期 (1997/03) Pp. 43-49

https://doi.org/10.6557/GJTb.199703_14(1).0007

摘要

肝細胞癌是一種常見且高度惡性的腫瘤，常有轉移之發現。一般較常見於肺部及淋巴結之轉移。胃腸道之轉移較罕見，並且經常是因癌細胞直接侵犯所致。肝細胞癌患者併發上胃腸道出血的原因多數是由於胃或食道靜脈曲張破裂出血，而因肝細胞癌侵犯胃腸道引起出血之機會則十分少見。
本病例為一37歲男性B型肝炎帶原者，因上胃腸道出血入院，經上消化道內視鏡檢、鋇劑攝影、電腦斷層檢查及手術切除，證實為肝細胞癌合併胃侵犯引起上胃腸道出血，故提出報告。

關鍵字

肝細胞癌 ； 胃腸道出血 ； 胃

並列摘要

A 35-year-old male was admitted with upper gastrointestinal (UGI) bleeding. Endoscopy revealed an enormous gastric submucosal tumor with central ulceration and bleeding. The biopsy failed to define histology of the lesion. Barium meal study confirmed a circumscribed infiltrative mass over the body and fundus of the stomach. Abdominal computed tomography (CT) scanning indicated an enormous mass with central necrosis arising from the left lobe of the liver and was adhesive to the gastric wall. Laparotomy showed it as hepatocellular carcinoma (HCC) with direct gastric invasion. HCC presented with UGI bleeding by direct invasion of the stomach was deemed atypical.

並列關鍵字

hepatocellular carcinoma ； gastrointestinal bleeding ； stomach