Hepatocellular carcinoma with colonic metastasis

Ou TM, Tsai WC, Hsieh TY, Shih YL
Correspondence: Dr Yu-Lueng Shih, albreb@ms28.hinet.net

ABSTRACT
Hepatocellular carcinoma with colonic metastasis is rare. It mainly occurs by direct invasion and presents with bloody stools. We describe a patient with haematogenous metastasis to the rectum who presented with tenesmus. To our knowledge, such an association has not been reported previously. Colonic metastasis should be considered when patients with hepatocellular carcinoma present with bloody stools or tenesmus.

Keywords: colonic metastasis, hepatocellular carcinoma
Singapore Med J 2014; 55(6): e93-e95; http://dx.doi.org/10.11622/smedj.2013262

http://smj.org.sg/sites/default/files/5506/5506cr4.pdf

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