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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Nov 7, 2009; 15(41): 5239-5241
Published online Nov 7, 2009. doi: 10.3748/wjg.15.5239
Published online Nov 7, 2009. doi: 10.3748/wjg.15.5239
Pedunculated hepatocellular carcinoma and splenic metastasis
Mao-Lin Yan, Yao-Dong Wang, Zhi-De Lai, Yi-Feng Tian, Hong-Biao Chen, Fu-Nan Qiu, Song-Qiang Zhou, Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China
Author contributions: Yan ML, Wang YD and Lai ZD contributed equally to this work; Yan ML, Wang YD, Lai ZD and Tian YF performed the surgery and clinical care of the patient; Chen HB, Qiu FN and Zhou SQ organized the patient’s data and figures; Yan ML wrote the manuscript.
Correspondence to: Yao-Dong Wang, MD, Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China. chenhuiwyd@yahoo.com.cn
Telephone: +86-591-87552554 Fax: +86-591-87552554
Received: July 24, 2009
Revised: August 31, 2009
Accepted: September 7, 2009
Published online: November 7, 2009
Revised: August 31, 2009
Accepted: September 7, 2009
Published online: November 7, 2009
Abstract
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.
Keywords: Pedunculated hepatocellular carcinoma, Splenic metastasis, Hematogenous metastasis, Direct metastasis, Splenectomy