Seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinoma

<p>Abstract</p> <p>Background</p> <p>Metastasis to the seminal vesicle is extremely rare for hepatocellular carcinoma (HCC). To our knowledge, it has been not reported in literature. The purpose of the present paper was to report a case of metastasis to the seminal vesi...

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Main Authors: Zhang Wei, Shi Lifang, Bu Wangjun, Zhang Wendong, Li Yanhong, Zheng Minwen, Gong Li, Yan Hong
Format: Article
Language:English
Published: BMC 2011-03-01
Series:BMC Cancer
Subjects:
Online Access:http://www.biomedcentral.com/1471-2407/11/111
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author Zhang Wei
Shi Lifang
Bu Wangjun
Zhang Wendong
Li Yanhong
Zheng Minwen
Gong Li
Yan Hong
author_facet Zhang Wei
Shi Lifang
Bu Wangjun
Zhang Wendong
Li Yanhong
Zheng Minwen
Gong Li
Yan Hong
author_sort Zhang Wei
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Metastasis to the seminal vesicle is extremely rare for hepatocellular carcinoma (HCC). To our knowledge, it has been not reported in literature. The purpose of the present paper was to report a case of metastasis to the seminal vesicle after HCC resection, along with its histological features and immunohistochemical characteristics.</p> <p>Case Presentation</p> <p>A 46-year-old Chinese man was admitted to our hospital due to abdominal distension. He had a history of HCC related to hepatitis B virus infection. Moreover, left partial hepatectomy was performed in another hospital 28 months ago, and right partial hepatectomy for HCC recurrence in our hospital 4 months ago. After resection, radiofrequency ablation therapy had been performed. About 27 months after the initial operation, contrast-enhanced computed tomography (CT) of the pelvic cavity revealed a mass with homogeneous enhancement in the seminal vesicle. Transrectal needle biopsy revealed a poorly differentiated adenocarcinoma. Therefore, seminal vesiculectomy was resected. The histological diagnosis of the removed tumor was compatible with the original HCC. Immunohistochemical examination demonstrated that the tumor cells were positive for glypican-3 (GPC3), alpha-fetoprotein (AFP), hepatocyte paraffin-1 (Hep Par 1), cytokeratin 18 (CK 18), and hepatocyte antigen, which confirmed that the seminal vesicle tumor was a metastatic tumor of HCC. However, CT subsequently revealed multiple metastatic foci in the abdominal and pelvic cavities in May 2009 and August 2009, respectively.</p> <p>Conclusion</p> <p>The seminal vesicle is an extremely rare metastatic site for HCC, and the prognosis is very poor. A combination of clinical and pathological features is necessary for a correct diagnosis, and primary tumor should be excluded before diagnosing metastatic foci.</p>
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spelling doaj.art-cd18a1dd95f84bfc93ec1793b2542ba42022-12-22T02:13:57ZengBMCBMC Cancer1471-24072011-03-0111111110.1186/1471-2407-11-111Seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinomaZhang WeiShi LifangBu WangjunZhang WendongLi YanhongZheng MinwenGong LiYan Hong<p>Abstract</p> <p>Background</p> <p>Metastasis to the seminal vesicle is extremely rare for hepatocellular carcinoma (HCC). To our knowledge, it has been not reported in literature. The purpose of the present paper was to report a case of metastasis to the seminal vesicle after HCC resection, along with its histological features and immunohistochemical characteristics.</p> <p>Case Presentation</p> <p>A 46-year-old Chinese man was admitted to our hospital due to abdominal distension. He had a history of HCC related to hepatitis B virus infection. Moreover, left partial hepatectomy was performed in another hospital 28 months ago, and right partial hepatectomy for HCC recurrence in our hospital 4 months ago. After resection, radiofrequency ablation therapy had been performed. About 27 months after the initial operation, contrast-enhanced computed tomography (CT) of the pelvic cavity revealed a mass with homogeneous enhancement in the seminal vesicle. Transrectal needle biopsy revealed a poorly differentiated adenocarcinoma. Therefore, seminal vesiculectomy was resected. The histological diagnosis of the removed tumor was compatible with the original HCC. Immunohistochemical examination demonstrated that the tumor cells were positive for glypican-3 (GPC3), alpha-fetoprotein (AFP), hepatocyte paraffin-1 (Hep Par 1), cytokeratin 18 (CK 18), and hepatocyte antigen, which confirmed that the seminal vesicle tumor was a metastatic tumor of HCC. However, CT subsequently revealed multiple metastatic foci in the abdominal and pelvic cavities in May 2009 and August 2009, respectively.</p> <p>Conclusion</p> <p>The seminal vesicle is an extremely rare metastatic site for HCC, and the prognosis is very poor. A combination of clinical and pathological features is necessary for a correct diagnosis, and primary tumor should be excluded before diagnosing metastatic foci.</p>http://www.biomedcentral.com/1471-2407/11/111seminal vesiclehepatocellular carcinomametastasisclinical pathology
spellingShingle Zhang Wei
Shi Lifang
Bu Wangjun
Zhang Wendong
Li Yanhong
Zheng Minwen
Gong Li
Yan Hong
Seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinoma
BMC Cancer
seminal vesicle
hepatocellular carcinoma
metastasis
clinical pathology
title Seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinoma
title_full Seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinoma
title_fullStr Seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinoma
title_full_unstemmed Seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinoma
title_short Seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinoma
title_sort seminal vesicle metastasis after partial hepatectomy for hepatocellular carcinoma
topic seminal vesicle
hepatocellular carcinoma
metastasis
clinical pathology
url http://www.biomedcentral.com/1471-2407/11/111
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AT buwangjun seminalvesiclemetastasisafterpartialhepatectomyforhepatocellularcarcinoma
AT zhangwendong seminalvesiclemetastasisafterpartialhepatectomyforhepatocellularcarcinoma
AT liyanhong seminalvesiclemetastasisafterpartialhepatectomyforhepatocellularcarcinoma
AT zhengminwen seminalvesiclemetastasisafterpartialhepatectomyforhepatocellularcarcinoma
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