Hepatogastric fistula caused by direct invasion of hepatocellular carcinoma after transarterial chemoembolization and radiotherapy
2
조회
0
다운로드
1
인용
0
참고문헌
초록
A 63-year-old man with a history of hepatitis-B-related hepatocellular carcinoma (HCC) in the left lateral portion of the liver received repeated transcatheter arterial chemoembolization (TACE) and salvage radiotherapy. Two months after completing radiotherapy, he presented with dysphagia, epigastric pain, and a protruding abdominal mass. Computed tomography showed that the bulging mass was directly invading the adjacent stomach. Endoscopy revealed a fistula from the HCC invading the stomach. Although the size of the mass had decreased with the drainage through the fistula, and his symptoms had gradually improved, he died of cancer-related bleeding and hepatic failure. This represents a case in which an HCC invaded the stomach and caused a hepatogastric fistula after repeated TACE and salvage radiotherapy.
Abstract
A 63-year-old man with a history of hepatitis-B-related hepatocellular carcinoma (HCC) in the left lateral portion of the liver received repeated transcatheter arterial chemoembolization (TACE) and salvage radiotherapy. Two months after completing radiotherapy, he presented with dysphagia, epigastric pain, and a protruding abdominal mass. Computed tomography showed that the bulging mass was directly invading the adjacent stomach. Endoscopy revealed a fistula from the HCC invading the stomach. Although the size of the mass had decreased with the drainage through the fistula, and his symptoms had gradually improved, he died of cancer-related bleeding and hepatic failure. This represents a case in which an HCC invaded the stomach and caused a hepatogastric fistula after repeated TACE and salvage radiotherapy.
참고문헌 (20)
- Sherman M, "Epidemiology of hepatocellular carcinoma", Oncology, 78(1), pp.7~10 (2010)
- "Annual Reports of the Korea Central Cancer Registry/<" (2008)[URL]
- Park MS, "Radiologic findings of gastrointestinal tract involvement in hepatocellular carcinoma", J Comput Assist Tomogr, 26, pp.95~101 (2002)
- Yeo W, "A prospective study of upper gastrointestinal hemorrhage in patients with hepatocellular carcinoma", Dig Dis Sci, 40, pp.2516~2521 (1995)
- Chen LT, "Gastrointestinal tract involvement in hepatocellular carcinoma: clinical, radiological and endoscopic studies", Endoscopy, 22, pp.118~123 (1990)
- Srivastava DN, "Gastrointestinal hemorrhage in hepatocellular carcinoma: management with transheptic arterioembolization", Abdom Imaging, 25, pp.380~384 (2000)
- Maruyama A, "Hepatocellular carcinoma complicated by gastrointestinal hemorrhage caused by direct tumor invasion of stomach", J Hepatobiliary Pancreat Surg, 6, pp.90~93 (1999)
- Lynch P, "Hepatocellular carcinoma metastatic to the stomach presenting as bleeding multiple craterogenic ulcers", Am J Gastroenterol, 84, pp.653~655 (1989)
- Nicoll AJ, "Gastrointestinal bleeding from hepatocellular carcinoma invading the stomach", J Gastroenterol Hepatol, 9, pp.533~535 (1994)
- Hung HC, "Radiotherapy in the treatment of duodenal bleeding due to hepatocellular carcinoma invasion", J Gastroenterol Hepatol, 13, pp.1143~1145 (1998)
- Fujii K, "Complete resection of hepatocellular carcinoma with direct invasion to the stomach remnant", J Hepatobiliary Pancreat Surg, 11, pp.441~444 (2004)
- Huang HK, "Hepatocutaneous fistula: a complication after radiofrequency ablation therapy for hepatocellular carcinoma", N Z Med J, 120, pp.U2562~ (2007)
- Lin CP, "Gastrointestinal metastasis in hepatocellular carcinoma: radiological and endoscopic studies of 11 cases", J Gastroenterol Hepatol, 15, pp.536~541 (2000)
- Hashimoto M, "Case report: gastrointestinal bleeding from a hepatocellular carcinoma invading the transverse colon", Gastroenterol Hepatol, 11, pp.765~767 (1996)
- Chen CY, "Lower gastrointestinal bleeding from a hepatocellular carcinoma invading the colon", J Clin Gastroenterol, 25, pp.373~375 (1997)
- Yo T, "A case of gastric perforation due to invasive liver cell carcinoma to the stomach", Nippon Geka Gakkai Zasshi, 87, pp.916~920 (1986)
- Kimura K, "Hepatocellular carcinoma with direct invasion to the stomach causing gastrointestinal hemorrhage", Intern Med, 47, pp.671~674 (2008)
- Chan FS, "Duodenopleural fistula formation after percutaneous radiofrequency ablation for recurrent hepatocellular carcinoma", Asian J Surg, 30, pp.278~282 (2007)
- 박성길, "간세포암종 환자에서 고주파 열치료술 후에 발생한 담관-십이지장 누공 1예", 대한소화기학회지, 51(3), pp.199~203 (2008), 대한소화기학회
- Wang CY, "Delayed spontaneous hepatogastric fistula formation following transcatheter arterial embolisation and radiotherapy for hepatocellular carcinoma", Br J Radiol, 82, pp.e105~107 (2009)