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  • Title: Pedunculated hepatocellular carcinoma and splenic metastasis.
    Author: Yan ML, Wang YD, Lai ZD, Tian YF, Chen HB, Qiu FN, Zhou SQ.
    Journal: World J Gastroenterol; 2009 Nov 07; 15(41):5239-41. PubMed ID: 19891029.
    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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