Abstract
Hepato Cellular Carcinoma (HCC) rarely presents as Dysphagia. A case of 62 yr old male presented with one month history of progressive dysphagia for solids and liquids and is investigated accordingly. UGI endoscopy shown friable growth at the level of GE junction for which biopsy was done. Interestingly biopsy report shown pleomorphic hepatocytes with vesicular nucleus with prominent nucleoli suggestive of HCC. Later HCC is confirmed. As patient was already in BCLC stage D with performance status of ECOG 3 and Child Pugh Score (CPS) of 5 and patient was offered the option of metallic stent for relief of dysphagia. Hence HCC should be considered as a possibility in progressive dysphagia.
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Corresponding Author
Dr Hari Prasad. P, M.D.
Ground Floor-B, Nagamalli Enclave, Zilla Parishad Junction, Krishna Nagar, Visakhapatnam, 530002
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.71
