Case report of metachronous hepatocellular carcinoma and early esophageal cancer

J Nippon Med Sch. 2005 Jun;72(3):187-90. doi: 10.1272/jnms.72.187.

Abstract

We report a case of double cancer of the liver and esophagus, an extremely rare condition that can be very difficult to treat. A tumorous lesion was pointed out in segment 6 of the liver of a 69-year-old man under treatment for liver cirrhosis. Abdominal computed tomography and angiography revealed a hepatocellular carcinoma. The patient underwent transcatheter arterial embolization and partial resection of segments 5 and 6. Fourteen months later, a small elevated lesion was detected in the esophagus during an endoscopic examination. The patient was treated by endoscopic mucosal resection and radiation therapy at a total dose of 50 Gy. Histological examination revealed a squamous cell carcinoma with cancer cells confined within the epithelium of the esophagus. Over the 6 years since the hepatectomy, there have been no signs of recurrence. We report a successful curative resection in an extremely rare form of double cancer with a poor prognosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Hepatocellular / diagnosis
  • Carcinoma, Hepatocellular / therapy*
  • Carcinoma, Squamous Cell / diagnosis
  • Carcinoma, Squamous Cell / etiology*
  • Carcinoma, Squamous Cell / therapy*
  • Disease-Free Survival
  • Embolization, Therapeutic
  • Esophageal Neoplasms / diagnosis
  • Esophageal Neoplasms / etiology*
  • Esophageal Neoplasms / therapy*
  • Esophagoscopy
  • Hepatectomy / adverse effects
  • Humans
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / therapy*
  • Male
  • Neoplasms, Second Primary / diagnosis
  • Neoplasms, Second Primary / etiology*
  • Neoplasms, Second Primary / therapy*
  • Radiotherapy Dosage
  • Radiotherapy, Adjuvant
  • Treatment Outcome