Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1819-1824
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1819
Long-term survival of patients with hepatocellular carcinoma with hepatic, pulmonary, peritoneal and rare colon metastasis: A case report
Yong-Qiang Gong, Tai-Liang Lu, Chao-Wu Chen
Yong-Qiang Gong, Tai-Liang Lu, Department of Gastrointestinal Surgery, Hunan Provincial People’s Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410005, Hunan Province, China
Chao-Wu Chen, Department of Gastrointestinal Surgery, Hunan Provincial People’s Hospital, Changsha 410005, Hunan Province, China
Author contributions: Gong YQ collected the literature and wrote the manuscript. Lu TL supervised the manuscript. Chen CW conceived the idea and drafted the manuscript. All authors have read and approve the final manuscript.
Informed consent statement: Informed consent statement was obtained from the patient and his family for publication of this report and any accompany images.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chao-Wu Chen, MD, PhD, Doctor, Department of Gastrointestinal Surgery, Hunan Provincial People’s Hospital, No. 61 Jiefang West Road, Furong District, Changsha 410005, Hunan Province, China. chenchaowu0@163.com
Received: March 11, 2023
Peer-review started: March 11, 2023
First decision: May 16, 2023
Revised: June 5, 2023
Accepted: July 7, 2023
Article in press: July 7, 2023
Published online: August 27, 2023
Processing time: 167 Days and 10.3 Hours
Core Tip

Core Tip: Hepatocellular carcinoma (HCC) is a highly malignant cancer worldwide, which often metastasizes, but unusually to the gastrointestinal tract and particularly rare to the colon. We presented an atypical clinical case of a patient with liver, right lung, peritoneal and colon metastases diagnosed successively following hepatic resection for primary HCC. Despite his early metastases, the patient remained relatively healthy for 8 years. This case indicates that comprehensive treatment is beneficial for certain patients with metastatic HCC. Furthermore, clinicians should be alert as to the possibility of rare site metastatic tumors that may be easily misdiagnosed as primary tumors. We believe this article will be very useful to anyone who is interested in this field.