|
KMID : 0882420080750050559
|
|
Korean Journal of Medicine
2008 Volume.75 No. 5 p.559 ~ p.563
|
|
|
A case of extrahepatic bile duct hepatocellular carcinoma with no detectable primary hepatic tumor
|
|
Park Choul-Ki
Joo Kwang-Ro
Kim Kyung-Yup
Oh Won-Taek
Maeng Chi-Hoon
Lim Sung-Jig
Lee Joung-Il
|
|
|
Abstract
|
|
|
Obstructive jaundice associated with hepatocellular carcinoma (HCC) is an uncommon symptom caused by intraductal
tumor growth, the migration of tumor necrosis, blood clots within the biliary tract, or compression of the biliary tract by
the tumor. Most cases of icteric-type HCC involve a main tumor in the liver parenchyma. Bile duct HCC without a primary hepatic tumor is extremely rare, but because it shows similar clinical manifestations and imaging results to extrahepatic bile duct cancer, it is possible to misdiagnose this condition as a primary bile duct tumor or choldocholithiasis. Recently, we experienced a case of obstructive jaundice associated with an extrahepatic bile duct tumor in a 69-year-old woman. Upon radiologic studies and endoscopic cholangiography, the cause of obstructive jaundice was initially attributed to the bile duct tumor itself. However, subsequent analysis indicated that the condition was, in fact, due to bile duct thrombi associated with extrahepatic bile duct HCC.
|
|
|
KEYWORD
|
|
|
Extrahepatic bile duct, Hepatocellular carcinoma, Obstructive jaundice, Thrombus
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|