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KMID : 0964020130130020158
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Journal of the Korean Liver Cancer Study Group
2013 Volume.13 No. 2 p.158 ~ p.163
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A Case of Hepatocellular Carcinoma with Bile Duct Invasion Treated with Transarterial Chemoembolization
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Kim Hee-Yeon
Kim Chang-Wook
Lee Chang-Don
Lee Su-Lim
Won Yoo-Dong
Kim Ye-Il
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Abstract
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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.
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KEYWORD
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Hepatocellular carcinoma, Biliary Tract Neoplasms, Transarterial chemoembolization, Jaundice, obstructive, Cholestasis
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