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Hepatocellular Carcinoma Metastatic to the Stomach Presenting as Bleeding Multiple Craterogenic Ulcers
Authors:Patrick Lynch  M.D.    Linda Green  M.D.    Paul H. Jordan  M.D.    David Y. Graham  M.D.
Affiliation:Department of Medicine, Veterans Administration Medical Center, Houston, Texas.
Abstract:A patient with previous resection of primary hepatocellular carcinoma developed upper intestinal bleeding. Pinch biopsy and needle aspiration biopsy of a submucosal antral lesion seen at endoscopy yielded metastatic hepatoma. We believe this to be the first report of the endoscopic appearance of a submucosal tumor. Currently available methods of tissue diagnosis are discussed.
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