KMID : 0370920080250020165
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Yeungnam Univercity Journal of Medicine 2008 Volume.25 No. 2 p.165 ~ p.170
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A Case of Hepatocellular Carcinoma with intradural growth Presenting as Obstructive Jaundice
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Kim Sung-Bum
Yun Sung-Soo Jang Byung-Ik Kim Tae-Nyeun Eun Jong-Ryul Lee Heon-Ju Bae Young-Kyung Lee Ho-Chan Park Jae-Hyun
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Abstract
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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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KEYWORD
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Hepatocellular carcinoma, Intraductal, Obstructive jaundice
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