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Yeungnam Univ J Med > Volume 25(2); 2008 > Article
Yeungnam University Journal of Medicine 2008;25(2):165-170.
DOI: https://doi.org/10.12701/yujm.2008.25.2.165    Published online December 31, 2008.
A Case of Hepatocellular Carcinoma with intradural growth Presenting as Obstructive Jaundice.
Sung Bum Kim, Tae Nyeun Kim, Sung Jun Kim, Ho Chan Lee, Jae Hyun Park, Jong Ryul Eun, Byung Ik Jang, Heon Ju Lee, Sung Su Yun, Young Kyung Bae
1Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. tnk@med.yu.ac.kr
2Department of Surgery, College of Medicine, Yeungnam University, Daegu, Korea.
3Department of Pathology, College of Medicine, Yeungnam University, Daegu, Korea.
Abstract
The incidence of hepatocellular carcinoma presenting as obstructive jaundice is 0.7~9%. The mechanisms of obstructive jaundice include bile duct invasion by tumor, tumor thrombi, blood clots, direct bile duct compression by tumor, and intraductal tumor growth. We report a rare case of hepatocellular carcinoma with intraductal growth. A 46-year-old woman was admitted due to colicky right upper abdominal pain and jaundice for 4 days. Computed tomography showed dilatation of the left intrahepatic duct, and endoscopic retrograde cholangiography showed a filling defect in the left main intrahepatic duct. We performed a left lobectomy with a Roux-en-Y hepaticojejunostomy. The tumor was diagnosed as a hepatocellular carcinoma with intraductal growth.
Key Words: Hepatocellular carcinoma, Intraductal, Obstructive jaundice


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