A case of lymphangiosis carcinomatosa of the liver due to advanced gastric cancer

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  • Hirose Yuki
    Department of Gastroenterology, Japan Community Health Care Organization, Tokyo Yamate Medical Center
  • Kinoshita Akiyoshi
    Division of Gastroenterology and Hepatology, Jikei University Daisan Hospital
  • Koike Kazuhiko
    Division of Gastroenterology and Hepatology, Jikei University Daisan Hospital
  • Harada Toru
    Department of Pathology, Jikei University Daisan Hospital
  • Saruta Masayuki
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Jikei University School of Medicine

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Other Title
  • 進行胃癌による肝癌性リンパ管症の1剖検例
  • シンコウ イガン ニ ヨル カンガンセイ リンパカンショウ ノ 1 ボウケンレイ

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Description

<p>A 76-year-old woman was admitted to our hospital due to abdominal pain and weight loss. Esophagogastroduodenoscopy and computed tomography revealed type 2 advanced gastric cancer with multiple lymph node metastases. Blood tests indicated elevated liver enzyme levels and jaundice, which were suspected to have occurred as complications of sclerosing cholangitis based on the detection of multiple stenoses of the bile duct. Endoscopic stenting was performed, but the liver damage rapidly worsened, and the patient died 50 days after admission. Autopsy findings showed direct invasion of the hilar bile duct and lymphangiosis carcinomatosa of the liver due to advanced gastric cancer.</p>

Journal

  • Kanzo

    Kanzo 62 (9), 569-577, 2021-09-01

    The Japan Society of Hepatology

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