Hung Guang-Uei, Yeh Yung-Hsiang, Chen Yao-Li, Lee Jong-Kang
Department of Nuclear Medicine, Chang-Bing Show Chwan Hospital, Lukang Zhen, Changhua, Taiwan.
Clin Nucl Med. 2008 Dec;33(12):859-60. doi: 10.1097/RLU.0b013e31818c8cfe.
It is rare for patients with hepatocellular carcinoma (HCC) to have gastrointestinal metastasis. We report on a 67-year-old man with HCC who was first treated with liver transplantation and then received transcatheter arterial embolization for recurrence in the right hepatic lobe. He underwent whole-body FDG PET/CT imaging for survey, and a FDG-avid lesion was localized in the duodenum. Endoscopic examination revealed an ulcerative tumor in the first portion of the duodenum. Histologic examination determined metastatic HCC.
肝细胞癌（HCC）患者出现胃肠道转移的情况较为罕见。我们报告一例67岁的HCC男性患者，该患者首先接受了肝移植治疗，随后因右肝叶复发接受了经导管动脉栓塞术。他接受了全身FDG PET/CT检查以进行筛查，结果在十二指肠发现了一个FDG摄取增加的病灶。内镜检查显示十二指肠第一部有一个溃疡性肿瘤。组织学检查确诊为转移性HCC。
