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Hepatocellular carcinoma with pleural metastasis complicated by hemothorax
H Takagi1, R Shimoda, M Uehara
1First Department of Internal Medicine, Gunma University School of Medicine, Gunma, Japan.
The American Journal of Gastroenterology
|September 1, 1996
Abstract:
Hemothorax can be caused by rupture of hepatocellular carcinoma (HCC). Hemoperitoneum is a well-known cause of death caused by rupture of a primary HCC lesion. Rupture of a HCC metastasis has not been adequately described. This is the first report of a HCC patient who died of hemothorax due to rupture of a pleural metastasis. The patient, a woman, died in respiratory failure 2 wk after rupture of her HCC metastasis in the pleura. Autopsy revealed moderately differentiated HCC in the liver, lung, and pleura. We discuss treatment options for ruptured pleura-based HCC metastases.