Yeungnam Univ J Med.
2008 Dec;25(2):165-170.
A Case of Hepatocellular Carcinoma with intradural growth Presenting as Obstructive Jaundice
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. tnk@med.yu.ac.kr
- 2Department of Surgery, College of Medicine, Yeungnam University, Daegu, Korea.
- 3Department of Pathology, College of Medicine, Yeungnam University, Daegu, Korea.
Abstract
- The incidence of hepatocellular carcinoma presenting as obstructive jaundice is 0.7~9%. The mechanisms of obstructive jaundice include bile duct invasion by tumor, tumor thrombi, blood clots, direct bile duct compression by tumor, and intraductal tumor growth. We report a rare case of hepatocellular carcinoma with intraductal growth. A 46-year-old woman was admitted due to colicky right upper abdominal pain and jaundice for 4 days. Computed tomography showed dilatation of the left intrahepatic duct, and endoscopic retrograde cholangiography showed a filling defect in the left main intrahepatic duct. We performed a left lobectomy with a Roux-en-Y hepaticojejunostomy. The tumor was diagnosed as a hepatocellular carcinoma with intraductal growth.
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