Korean J Gastrointest Endosc.
2001 Mar;22(3):187-191.
Icteric Type Hepatocelluar Carcinoma for Which Cholangioscopic Ethanol Injection Was Effective
- Affiliations
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- 1Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea. mhkim@www.amc.seoul.kr
- 2Department of Diagnostic Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Abstract
- Hepatocellular carcinoma often invades the portal or hepatic veins, but rarely proliferates in the bile duct. Since curative resection is rarely possible in these cases, conservative therapy has been the sole modality. Herein, we report a case of icteric type hepatocellular carcinoma for which cholangioscopic ethanol injection was effective. By only transcatheter arterial chemoembolization in this patient, obstructive jaundice and intermittent cholangitis were not relieved. Therefore, we performed ethanol injection into the intraductal hepatoma mass under percutaneous transhepatic cholangioscopic guidance. As a result of therapy, he had been well without jaundice and cholangitis for 9 months until die.
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