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KMID : 0371320090770020138
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Journal of the Korean Surgical Society
2009 Volume.77 No. 2 p.138 ~ p.142
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Metastatic Small Bowel Perforation Caused by Intrahepatic Cholangiocarcinoma in a Patient with Combined Hepatocellular-cholangiocarcinoma
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Kang Dong-Baek
Kim Seung-Ho
Byun Seung-Jae
Oh Jung-Teak
Park Won-Cheol
Kim Kang-Deuk
Jo Hyang-Jeong
Lee Jeong-Kyun
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Abstract
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Advances in chemotherapy and radiation therapies for malignant tumors have resulted in the identifications of various novel features of intestinal metastasis. The common causes of small bowel metastasis are malignant melanoma and lung cancer, and this has also been rarely reported to uterine cervical cancer, malignant lymphoma of the larynx, malignant lymphoma of soft palate, and hepatocellular carcinoma (HCC). The Combined HCC- cholangiocarcinoma (HCC-CC) is a rare primary liver malignancy, and is composed of cells with the histopathological features of both HCC and CC, but metastatic small bowel perforation by CC in a patient with combined HCC-CC has not been reported previously. The authors describe the case of a 51-year-old man with a metastatic small bowel perforation caused by an intrahepatic CC in combined HCC-CC with a review of the literature.
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KEYWORD
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Small bowel perforation, Metastasis, Combined hepatocellular-cholangiocarcinoma
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