EJMCR |

Case Report

Volume: 8 | Issue: 3 | Published: Apr 17, 2024 | Pages: 47 - 52 | DOI: 10.24911/ejmcr.173-1700325946

Pelvis Metastasis with Rectal Infiltration in Hepatocellular Carcinoma - A Rare Case Report

Authors: Arnetta Naomi Louise Lalisang , Davin Nathan Wijaya , Taufik Agung Wibowo , Indah Nathan Jamtani , Vania Myralda Giamour Marbun , Yarman Nathan Mazni , Toar Jean Maurice Lalisang , Marini Nathan Stephanie

Article Info

Authors

Arnetta Naomi Louise Lalisang

Digestive Surgery Division, Department of Surgery, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

ORCID

Davin Nathan Wijaya

Digestive Surgery Division, Department of Surgery, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

ORCID

Taufik Agung Wibowo

Department of Radiology, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

ORCID

Indah Nathan Jamtani

Digestive Surgery Division, Department of Surgery, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

ORCID

Vania Myralda Giamour Marbun

Digestive Surgery Division, Department of Surgery, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

ORCID

Yarman Nathan Mazni

Digestive Surgery Division, Department of Surgery, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

ORCID

Toar Jean Maurice Lalisang

Digestive Surgery Division, Department of Surgery, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

ORCID

Marini Nathan Stephanie

Department of Pathology, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Publication History

Received: November 19, 2023

Revised: February 03, 2024

Accepted: February 10, 2024

Published: April 17, 2024

Abstract

Background: Hepatocellular carcinoma (HCC) is the most prevalent primary hepatic neoplasm, with approximately 50% of cases eventually developing metastasis. HCC metastasis to the pelvis is exceedingly rare due to the significant anatomical distance and intricate metastatic pathways involved. Case presentation: In this case report, we present a 60-year-old male with HCC metastasis to the pelvis that had infiltrated the rectum. Initially, we suspected the pelvic mass to be a GIST, but histopathological and immunohistochemical examinations revealed it to be HCC metastasis. The dissemination of the tumor was suspected to have occurred through peritoneal implantation following an RFA procedure that the patient had undergone ten months prior. A resection surgery of the sigmoid colon up to the tumor-free mid-rectum was performed. The patient is currently stable and undergoing routine outpatient care, now in the third-month post-surgery. Conclusion: This case report unveils a rare HCC metastasis to the pelvis with rectal infiltration. We conclude that in HCC patients presenting with obstructive symptoms, suspicion of metastasis to the pelvis should be considered, especially in patients who have undergone an RFA procedure. Limited diagnostic support from CT scans and colonoscopy made establishing a definitive diagnosis before surgery challenging. However, patients can attain a favorable prognosis with effective surgical intervention, underscoring the importance of prompt and effective treatment in such cases.

Keywords: Carcinoma, Hepatocellular, Neoplasm Metastasis, Pelvis, Rectum, Case Reports, green

Pubmed Style

Arnetta Naomi Louise Lalisang, Davin Nathan Wijaya, Taufik Agung Wibowo, Indah Nathan Jamtani, Vania Myralda Giamour Marbun, Yarman Nathan Mazni, Toar Jean Maurice Lalisang, Marini Nathan Stephanie. Pelvis Metastasis with Rectal Infiltration in Hepatocellular Carcinoma - A Rare Case Report. EJMCR. 2024; 17 (April 2024): 47-52. doi:10.24911/ejmcr.173-1700325946

Web Style

Arnetta Naomi Louise Lalisang, Davin Nathan Wijaya, Taufik Agung Wibowo, Indah Nathan Jamtani, Vania Myralda Giamour Marbun, Yarman Nathan Mazni, Toar Jean Maurice Lalisang, Marini Nathan Stephanie. Pelvis Metastasis with Rectal Infiltration in Hepatocellular Carcinoma - A Rare Case Report. https://ejmcr.com/articles/1253 [Access: December 25, 2024]. doi:10.24911/ejmcr.173-1700325946

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Arnetta Naomi Louise Lalisang, Davin Nathan Wijaya, Taufik Agung Wibowo, Indah Nathan Jamtani, Vania Myralda Giamour Marbun, Yarman Nathan Mazni, Toar Jean Maurice Lalisang, Marini Nathan Stephanie. Pelvis Metastasis with Rectal Infiltration in Hepatocellular Carcinoma - A Rare Case Report. EJMCR. (2024), [cited December 25, 2024]; 17 (April 2024): 47-52. doi:10.24911/ejmcr.173-1700325946

Harvard Style

Arnetta Naomi Louise Lalisang, Davin Nathan Wijaya, Taufik Agung Wibowo, Indah Nathan Jamtani, Vania Myralda Giamour Marbun, Yarman Nathan Mazni, Toar Jean Maurice Lalisang, Marini Nathan Stephanie (2024) Pelvis Metastasis with Rectal Infiltration in Hepatocellular Carcinoma - A Rare Case Report. EJMCR, 17 (April 2024): 47-52. doi:10.24911/ejmcr.173-1700325946

Chicago Style

Arnetta Naomi Louise Lalisang, Davin Nathan Wijaya, Taufik Agung Wibowo, Indah Nathan Jamtani, Vania Myralda Giamour Marbun, Yarman Nathan Mazni, Toar Jean Maurice Lalisang, Marini Nathan Stephanie. "Pelvis Metastasis with Rectal Infiltration in Hepatocellular Carcinoma - A Rare Case Report." 17 (2024), 47-52. doi:10.24911/ejmcr.173-1700325946

MLA (The Modern Language Association) Style

Arnetta Naomi Louise Lalisang, Davin Nathan Wijaya, Taufik Agung Wibowo, Indah Nathan Jamtani, Vania Myralda Giamour Marbun, Yarman Nathan Mazni, Toar Jean Maurice Lalisang, Marini Nathan Stephanie. "Pelvis Metastasis with Rectal Infiltration in Hepatocellular Carcinoma - A Rare Case Report." 17.April 2024 (2024), 47-52. Print. doi:10.24911/ejmcr.173-1700325946

APA (American Psychological Association) Style

Arnetta Naomi Louise Lalisang, Davin Nathan Wijaya, Taufik Agung Wibowo, Indah Nathan Jamtani, Vania Myralda Giamour Marbun, Yarman Nathan Mazni, Toar Jean Maurice Lalisang, Marini Nathan Stephanie (2024) Pelvis Metastasis with Rectal Infiltration in Hepatocellular Carcinoma - A Rare Case Report. , 17 (April 2024), 47-52. doi:10.24911/ejmcr.173-1700325946