The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Huge Pedunculated Hepatocellular Carcinoma Mimicking a Gastrointestinal Stromal Tumor

위장관 기질종양으로 오인된 거대 유경성 간세포암종 1예

  • Ha, Dong-Cheon (Department of Internal Medicine, Daejeon St. Mary's Hostpital, The Catholic University of Korea School of Medicine) ;
  • Kim, Bo-Kyoung (Department of Internal Medicine, Daejeon St. Mary's Hostpital, The Catholic University of Korea School of Medicine) ;
  • Kim, Moon-Sung (Department of Internal Medicine, Daejeon St. Mary's Hostpital, The Catholic University of Korea School of Medicine) ;
  • Kim, Ka-Young (Department of Internal Medicine, Daejeon St. Mary's Hostpital, The Catholic University of Korea School of Medicine) ;
  • Kwon, Ki-Hyun (Department of Internal Medicine, Daejeon St. Mary's Hostpital, The Catholic University of Korea School of Medicine) ;
  • Ahn, Young-Yong (Department of Internal Medicine, Daejeon St. Mary's Hostpital, The Catholic University of Korea School of Medicine) ;
  • Lee, Dong-Soo (Department of Internal Medicine, Daejeon St. Mary's Hostpital, The Catholic University of Korea School of Medicine)
  • 하동천 (가톨릭대학교 의과대학 대전성모병원 내과) ;
  • 김보경 (가톨릭대학교 의과대학 대전성모병원 내과) ;
  • 김문성 (가톨릭대학교 의과대학 대전성모병원 내과) ;
  • 김가영 (가톨릭대학교 의과대학 대전성모병원 내과) ;
  • 권기현 (가톨릭대학교 의과대학 대전성모병원 내과) ;
  • 안영용 (가톨릭대학교 의과대학 대전성모병원 내과) ;
  • 이동수 (가톨릭대학교 의과대학 대전성모병원 내과)
  • Published : 2011.12.01
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Abstract

Pedunculated hepatocellular carcinoma (P-HCC) can be defined as a carcinoma protruding from the liver with or without a pedicle. Cases of P-HCC showing extrahepatic growth are very rare. P-HCC constitutes 0.2-4.2% of all HCC cases in Japan and Taiwan, but few cases in Korea have been reported. A 67-year-old female patient was admitted to our hospital with a 6-month history of epigastric discomfort. Examination identified an abdominal mass in the left upper quadrant, and abdominal computed tomography revealed a huge mass adjacent to the fundus of the stomach. We diagnosed this mass as a gastrointestinal stromal tumor because of its size and site. However, postoperative histopathological findings showed that the mass was HCC. Here, we report this case and review the relevant medical literature.

유경성 간세포암종은 간세포암중에서 매우 드문 형태이다. 국내에서의 유경성 간세포암종의 증례 보고는 매우 드물었고, 대만과 일본 등의 증례가 소수 보고되어 있다. 저자들은 위저부 옆의 거대종괴에 대해 위장관 기질종양으로 의심하고 진단 겸 치료를 위해 수술을 시행하였던 경우로, 수술후 목이 없는 거대한 외성장 형태의 유경성 간세포암종으로 진단되었다. 유경성 간세포암종은 일반적 간세포암종에 비해 절제 가능한 경우가 많지만, 빠른 성장을 보이기 때문에 빨리 진단을 하는 것이 예후에 매우 중요하다. 이러한 이유로 종괴가 간 이외의 위치에 있다고 하더라도, 초기 추정진단시 간세포암종의 가능성을 배제하여서는 안될 것이다.

Keywords

References

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