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KMID : 0371320040660040354
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Journal of the Korean Surgical Society
2004 Volume.66 No. 4 p.354 ~ p.357
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Mucin-Producing Intrahepatic Cholangiocellular Carcinoma Presenting as a Focal Dilatation of the Intrahepatic Bile Duct
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Kim Joo-Dong
Jang Hyuk-Jai
Cho Yong-Pil
Kim Yong-Ho
Jung Seung-Mun
Kang Gil-Hyun
Han Myoung-Sik
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Abstract
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A case of a mucin-producing intrahepatic cholangiocellular carcinoma (MPCC) is reported, A 58-year old female presented with epigastric discomfort of several years duration, The physical examination and laboratory findings were normal. Abdominal ultrasonography (US) and computed tomography (CT) showed a focal dilatation of the right posterior intrahepatic bile duct. There was no abnormal mass in the liver parenchyma. Endoscopic retrograde cholangiopancrea icography (ERCP) showed a filling defect in the right posterio hepatic duct. There was no anatomical abnormality and abnormal staining on the heaptic angiography. At the operation, the right posterior hepatic duct was filled with mucin. The patient had a right posterior segmentectomy. Histologically, a 2.5×0.6×0.6 cm sized mucin-producing intrahepatic cholangiocellular carcinoma was found in segment 6 of the liver. The postoperative recovery was good, and the patient has had a good social life for the last 3 years with no evidence of tumor recurrence. In patients with a local dilatation of the intrahepatic bile duct on CT or US with no underlying cause, an intrahepatic malignancy has to be suspected.
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KEYWORD
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