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KMID : 0985520140190010031
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Korean Journal of Pancreas and Biliary Tract
2014 Volume.19 No. 1 p.31 ~ p.36
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A Case of Successful Treatment for Obstructive Jaundice in Hepatocellular Carcinoma with A Biliary Invasion by Transcatheter Arterial Chemoembolization after Biliary Drainage
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Yu Chung-Hoon
Park Jung-Gil
Kim Gyu-Young
Hwang Hee-Young
Jung Min-Kyu
Cho Chang-Min
Bae Han-Ik
Kim Gab-Chul
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Abstract
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Biliary invasion by hepatocellular carcinoma (HCC) is much less common. Patients manifest obstructive jaundice as the initial complaint, but most of them are inoperable. We report a case of completely improved biliary invasion in HCC after transcatheter arterial chemoembolization (TACE). A 61-year-old woman was referred for evaluation of jaundice. A biliary invasion of huge HCC was confirmed by image of abdominal computerized tomography (CT) and biopsy specimen. After improvement of jaundice by endoscopic retrograde biliary drainage and percutaneous transhepatic biliary drainage, she underwent TACE as a palliative treatment. Follow-up CT showed partial lipiodol uptake in hepatic tumor and its bile duct invasion. In follow-up endoscopic retrograde cholangiopancreatography, occluded cholangiogram showed neither luminal obstruction nor filling defect after removal of biliary stent. Our case suggests that obstructive jaundice, caused by inoperable huge HCC with biliary invasion, may be expected to resolve successfully biliary obstruction by a choice of TACE.
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KEYWORD
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Jaundice, Biliary tract, Carcinoma, Hepatocellular, Chemoembolization
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