CASE REPORT: Radiotherapy in the treatment of duodenal bleeding due to hepatocellular carcinoma invasion

• Published in: Journal of gastroenterology and hepatology Vol. 13; no. 11; pp. 1143 - 1145
• Main Authors: HUNG, HUNG-CHANG, HUANG, YI-SHIN, LIN, CHEN-CHUN, CHAO, YEE, CHI, KWAN-HWA, YEN, SANG-HUE, CHANG, FULL-YOUNG
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.11.1998; Blackwell Science
• Subjects: Biological and medical sciences; duodenal invasion; Gastroenterology. Liver. Pancreas. Abdomen; hepatocellular carcinoma; Liver. Biliary tract. Portal circulation. Exocrine pancreas; Medical sciences; radiotherapy; Tropical medicine; Tumors; upper gastrointestinal bleeding; Human; Duodenum; Instrumentation therapy; Cardiovascular disease; Hepatic disease; Hepatocellular carcinoma; Malignant tumor; Gastrointestinal; Radiotherapy; Hemorrhage; Vascular disease; Case study; Extension; Digestive diseases; Intestinal disease; Complication; Endoscopy; Diagnosis; Gastric disease
• ISSN: 0815-9319; 1440-1746
• DOI: 10.1111/j.1440-1746.1998.tb00591.x

Haemorrhage from an hepatocellular carcinoma (HCC) directly invading the gastrointestinal (GI) tract is uncommon. A 58‐year‐old man was admitted with upper gastrointestinal (UGI) bleeding and panendoscopy on examination revealed a large duodenal ulcerative bleeding mass. The mass was eventually diagnosed as HCC by pathological examination. The bleeding failed to respond to conventional management of haemostasis, but resolved with an external beam of radiotherapy with a total dose of 6000 cGy over a 5 week period. This unusual presentation of UGI bleeding, due to HCC invading the duodenum and treated by radiotherapy, has not been previously reported.