Gastric Metastasis of Hepatocellular Carcinoma Mimicking Early Gastric Cancer

A 68-year-old woman with hepatitis B virus infection was referred for numbness of her legs. Transarterial chemoembolization was performed for hepatocellular carcinoma (HCC) with portal tumor thrombus 3 months previously. Magnetic resonance imaging showed a metastatic tumor of thoracic vertebrae. Radiation shrank the metastatic lesion, but the leg paralysis was irreversible. After 1 month, her hemoglobin level decreased, and an endoscopy showed a small polyp at the anterior wall of the gastric angle (Figure A), which was not observed during the previous examination 3 months earlier.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research