Pedunculated hepatocellular carcinoma and splenic metastasis |
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Authors: | Mao-Lin Yan Yao-Dong Wang Zhi-De Lai Yi-Feng Tian Hong-Biao Chen Fu-Nan Qiu Song-Qiang Zhou |
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Institution: | 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 |
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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. |
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Keywords: | Pedunculated hepatocellular carcinoma Splenic metastasis Hematogenous metastasis Direct metastasis Splenectomy |
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