KMID : 0964020130130020158
|
|
Journal of the Korean Liver Cancer Study Group 2013 Volume.13 No. 2 p.158 ~ p.163
|
|
A Case of Hepatocellular Carcinoma with Bile Duct Invasion Treated with Transarterial Chemoembolization
|
|
Kim Hee-Yeon
Kim Chang-Wook Lee Chang-Don Lee Su-Lim Won Yoo-Dong Kim Ye-Il
|
|
Abstract
|
|
|
A 53-year-old female patient visited our hospital complaining of intermittent right upper quadrant pain for 6 months. Computed tomography (CT) scan revealed an irregular shaped tumor at segment 4 of the liver with biliary tumor thrombi extending into the common bile duct. Percutaneous transhepatic biliary drainage was done for decompression of bile duct dilatation. The patient underwent 6 sessions of transarterial chemoembolization (TACE). Partial response was obtained shortly after TACE. However, regrowth of intraductal tumor resulted in an obstructive jaundice. After a slight decompression of the obstructive jaundice, the patient underwent TACE. Jaundice temporarily worsened following the TACE, but improved, and follow-up CT demonstrated some shrinkage of the intraductal mass. This case indicates that obstructive-type jaundice may not be a contraindication for TACE, and aggressive TACE may improve prognoses of patients with hepatocellular carcinoma and biliary tumor thrombi.
|
|
KEYWORD
|
|
Hepatocellular carcinoma, Biliary Tract Neoplasms, Transarterial chemoembolization, Jaundice, obstructive, Cholestasis
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|