Abstract

Hepatocellular carcinoma (HCC) is a highly malignant cancer with frequent metastases. Lung, liver, large vessels, and regional lymph nodes are common metastatic sites. 1 Nelson RS De Elizalde R Howe CD. Clinical aspects of the primary carcinoma of the liver. Cancer. 1966; 19: 533-537 Crossref PubMed Scopus (56) Google Scholar Metastasis to the GI tract from HCC, however, is extremely rare. 2 Linder GT Crook JN Cohn Jr., I Primary liver carcinoma. Cancer. 1974; 33: 1624-1629 Crossref PubMed Scopus (40) Google Scholar We report herein two HCC patients with upper GI bleeding. Panendoscopy revealed submucosal tumors with crateriform ulcerations that proved to be metastatic HCC.

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