|
KMID : 1188320100040030398
|
|
Gut and Liver
2010 Volume.4 No. 3 p.398 ~ p.401
|
|
|
Peroral Direct Cholangioscopic-Guided Biopsy and Photodynamic Therapy Using an Ultraslim Upper Endoscope for Recurrent Hepatocellular Carcinoma with Intraductal Tiny Nodular Tumor Growth
|
|
Noh Se-Hui
Park Do-Hyun
Kim Yi-Rang
Chun Yoon-Hee
Moon Sung-Hoon
Lee Sang-Soo
Seo Dong-Wan
Lee Sung-Koo
Kim Myung-Hwan
|
|
|
Abstract
|
|
|
|
Bile-duct invasion is rare in patients with hepatocellular carcinoma (HCC). We report a case that received peroral direct cholangioscopy (PDCS)-guided endoscopic biopsy and photodynamic treatment (PDT) for recurrent HCC with intraductal tiny nodular tumor growth. A 64-year-old woman presented with recurrent right upper-quadrant pain. Six months previously she had been diagnosed with HCC with bile-duct invasion in the right anterior segment and had received right anterior segmentectomy. On pathological examination, the margin of resection was clear, but macroscopic bile-duct invasion was noted. On admission, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP) revealed a 0.5-cm-sized polypoid mass at the hilar portion. ERCP-guided biopsy failed, and an ampullary stricture was noted. PDCS-guided endoscopic biopsy was thus performed, and histopathology of the retrieved specimen revealed HCC. The patient submitted to PDT. There was no procedure-related complication. After 1 month of PDT the polypoid lesion and scar change at the hilar lesion had disappeared.
|
|
|
KEYWORD
|
|
|
Peroral direct cholangioscopy, Photodynamic treatment, Recurrent hepatocellular carcinoma, Intraductal growth
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|