A Case Report of Extrahepatically Growing Hepatocellular Carcinoma

Hodaka Amano*, Masanori Ichinose*, Tadashi Hachisu, Kazuhiko Jinguu*, Takao Suzuki*, Kaoru Sakamoto, Kouichirou Ohmori, Hidehiko Kashiwabara, Takeo Yokoyama

Department of Surgery, Sakura National Hospital
*Second Department of Surgery, School of Medicine, Chiba University

A 69-year-old man was admitted to our hospital complaining of an abdominal tumor and gastrointestinal bleeding. The tumor was prospectively diagnosed as an extrahepatically growing hepatocellular carcinoma protruding from the lateral segment with invasion to the stomach. Tumor extirpation with partial hepatectomy and distal gastrectomy was performed. The tumor was 19×16×13 cm in size and weighed 2120 g. Extrahepatically growing hepatocellular carcinoma usually responds favorably in surgical resection, but invasion to the liver and adjacent organs is sometimes observed. Therefore precise preopeartive diagnosis and selection of the appropriate operative method are important.

Key words
extrahepatically growing hepatocellular carcinoma, hepatocellular carcinoma invading the stomach

Reprint requests
Hodaka Amano Second Department of Surgery, Chiba University
1-8-1 Inohana, Chuou-ku, Chiba, 260 JAPAN

Accepted
September 9, 1992

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