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KMID : 0359019930130020415
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Korean Journal of Gastrointestinal Endoscopy
1993 Volume.13 No. 2 p.415 ~ p.418
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Obstructive Jaundice Caused by the Fragment of Hepatocellular Carcinoma in the Common Hepatic Duct Confirmed by Peroral Choledochoscopy
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유호민
정재복/송시영/신용준/박상진/전재윤/강진경/박인서
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Abstract
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The causes of jaundice in patients with hepatocellular carcinoma are usually attributed to the underlying liver diseases or extensive hepatic destruction by tumor. Obstructive jaundice by the intraluminal tumor fragment of intrahepatic and/or
extrahepatic bile duct in hepatocellular carcinoma is exceedingly rare and usually diagnosed by operation or autopsy.
Recently, we observed a patient in whom the fragment of tumor from the primary hepatocellular carcinoma obstructed the common hepatic duct, which was confirmed by peroral choledochoscopy. Using peroral choledochoscopy, we could see the mass
located
at
the common hepatic duct and diagnose histologically by cytologic examination of aspirated material of common bile duct. We describe here this rare case with review the literature on primary hepatocellular carcinoma with jaundice caused by biliary
obstruction.
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KEYWORD
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