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Hemorrhagic Gastric Metastasis from Hepatocellular Carcinoma Successfully Treated Using Coil Embolization of the Left

Michitaka Imai1, Toru Ishikawa1, Marina Okoshi1

  • 1Department of Gastroenterology and Hepatology, Saiseikai Niigata Daini Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|April 19, 2019
PubMed

A 62-year-old man initially underwent transcatheter arterial chemoembolization for the treatment of hepatocellular carcinoma (HCC). One year after the initial treatment, he developed anemia. Upper gastrointestinal endoscopy revealed irregularly elevated tumors in the lower anterior gastric body, which were diagnosed to be metastasis from HCC. Left gastric artery coil embolization was performed to prevent sustained bleeding, and his anemia partially improved. In addition to direct invasion, hematogenous metastasis to the stomach from HCC is possible and therefore should be considered during treatment. Transcatheter arterial embolization for gastric metastasis is an effective treatment method which achieves a good degree of hemostasis in patients without any surgical indications.

Keywords:
glypican-3hemostasishepatocellular carcinomametastasistranscatheter arterial embolization

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