Does the endoscopic finding of esophageal metastatic hepatocellular carcinoma progress from submucosal mass to polypoid shape?

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“…In general, prognosis of esophageal metastasis is extremely poor with an average survival time shorter than 1 month [8]. Given the fact that this current case was detected in earlier stage than other previously reported cases, his survival time was then longer than other ones.…”

“…EUS were applied in only 3 cases only after the lesions were detected by endoscopy [6][7][8]. In this case, the esophageal metastasis was incidentally suspected from the PET scan.…”

Esophageal metastases of hepatocellular carcinoma following liver transplantation

“…After more than six months of radiotherapy the endoscopy could not detect metastatic lesions in the esophagus, while the lesion in the liver was stable. It is presumed that tumor invasion of portal veins caused tumor infested thrombi which are disseminated throughout GI system [12,13]. Patients receiving immunosuppressive therapy are supposed to be more prone to develop metastases of earlier diagnosed malignant diseases.…”

“…They also develop primary malignant diseases other than hepatic cancer more frequently [1]. Due to their dimensions, dull clinical course and short interval between sowing in of esophageal metastases and death, the most of patients are not diagnosed until post mortem [13]. Orthotopic liver transplantation is the method of choice in well chosen patients with terminal liver diseases [14].…”

Esophageal Metastatic Sub-mucosal Lesion of Hepatocellular Carcinoma Diagnosed by EUS

“…Based on available information, the majority of esophageal metastases present either as polypoid masses or sub-mucosal lesions which mainly were discovered during endoscopy. EUS were applied in only 3 cases only after the lesions were detected by endoscopy [6][7][8]. In this case, the esophageal metastasis was incidentally suspected from the PET scan.…”