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KMID : 0870419980020020171
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
1998 Volume.2 No. 2 p.171 ~ p.176
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Combined Hepatocellular-Cholangiocarcinomav - A case report -
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Kim Do-Kyun
Lee Sang-Mok
Hong Sung-Wha
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Abstract
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Combined hepatocellular-cholargioearcinoma (HCC-CC) is a rare primacy liver cancer with poor prognosis. We experiened a case of combined HCC-CC which had had a surgical treatment. The patient was a 72-year-old man who was admitted for fatigue and epigastric discomfort. There were no abnormal elevations of tumor markers. HBs Ag was positive. On ultasonography, we detected a hyperechoic mass in the right lobe of the liver. Computed tomography showed two found and relatively well defined lesions in the right lobe of the liver: the large one was located at the anterior inferior segment(S5) and measured about 4.0×5.0×5.0㎝ size with low density but high density in arterial physis, the small one was located at the anterior superior segment(S8) and measured about 1.5×2.7×2.1㎝ site with atypical pattern of enhancement. On MRI, both lesions had a low density T1 image and a high density T2 image. Anterior segmentectomy was performed. In the resorted specimen, the large lesion was a well-circumscribed and firm mass with a greenish color that was diagnosed hepatocellular carcinoma, while the small lesion was an ill-demarcated and firm mass with a brownish-to-green color that was diagnosed cholangiocarcinoma. Histologically, each lesion was completely seperated and had a typical pattern of hepatocellular carcinoma and cholangiocarcinoma, respectively; it was diagnosed as a combined hepatocellular-cholangiocarcinoma(Allen’s typeⅠ).
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KEYWORD
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Combined hepatcellular-cholangiocarcinoma
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