Hepatocellular carcinoma (HCC) with gastrointestinal tract metastasis is a rare condition. Recently, we encountered one case of HCC with direct invasion to the colon, which was manifested by intestinal obstruction. The patient was an 86-year-old man who underwent multiple transarterial chemoembolization and microwave ablation treatment for HCC lesions for 10 years. Two months after last palliative microwave ablation, computed tomography showed a 7.0-cm liver tumor directly invading the hepatic flexure of colon with the symptom of right abdominal pain and discontinuous nausea and vomiting. HCC colon metastasis with intestinal obstruction was diagnosed. Intestinal adhesion lysis and colostomy were performed. The patient survived 10 months after surgery and died of tumor progression.


中文翻译：

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肝细胞癌消融及经动脉化疗栓塞治疗后肠梗阻结肠转移1例报告并文献复习


伴有胃肠道转移的肝细胞癌 (HCC) 是一种罕见的疾病。最近，我们遇到了1例直接侵犯结肠的HCC，表现为肠梗阻。患者为 86 岁男性，因 HCC 病变接受多次经动脉化疗栓塞和微波消融治疗 10 年。最后一次姑息性微波消融两个月后，计算机断层扫描显示一个 7.0 厘米的肝脏肿瘤直接侵犯结肠肝曲，症状为右腹痛和不连续的恶心和呕吐。诊断为 HCC 结肠转移伴肠梗阻。进行了肠粘连溶解和结肠造口术。该患者在手术后存活了 10 个月，并死于肿瘤进展。