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  • Title: Hepatocellular carcinoma directly invading the duodenum.
    Author: Mohamed AO, Joshi S, Czechowski J, Branicki F.
    Journal: Saudi Med J; 2005 Mar; 26(3):478-80. PubMed ID: 15806225.
    Abstract:
    Recurrent gastrointestinal bleeding from hepatocellular carcinoma HCC invading the duodenum is very rare. We present a case of 50-year-old male who was admitted with a history of recurrent upper gastrointestinal tract UGIT bleeding, weight loss and anemia. The patient was known to have a chronic hepatitis C. Endoscopic examination showed grade-2 non-bleeding esophageal varices, and a large ulcerated duodenal mass partially obstructing the duodenal bulb outlet and causing recurrent UGIT bleeding. Pathological evaluation of the mass revealed HCC.
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