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Metastasis of Hepatocellular Carcinoma to the Right Colon Manifested by Gastrointestinal Bleeding

1999; SAGE Publishing; Volume: 65; Issue: 3 Linguagem: Inglês

10.1177/000313489906500306

1555-9823

Carlos Alberto Nunes Cosenza, Linda Sher, Bernard J. Poletti, Donald Tschirhart, Hiroji Noguchi, Allen Hoffman, Richard R. Lopez, Diana Lugo, Sergio Rojter, L Makowka,

Colorectal Cancer Treatments and Studies

An 82-year-old black woman with a history of hepatocellular carcinoma presented with gastrointestinal bleeding. Barium enema and fibrocolonoscopy revealed a 4-cm polypoid mass at the level of the ascending colon with evidence of active bleeding. Biopsies of the lesion proved it to be metastatic hepatocellular carcinoma. Exploratory laparotomy revealed no further dissemination of the tumor, and the patient underwent an ileocolectomy. The serosal side of the colonic lesion was free from tumor, and there was no peritoneal implantation, direct extension, or lymph node involvement. This case represents an extremely rare presentation of metastatic hepatocellular carcinoma.