Korean Journal of Gastrointestinal Endoscopy 1993;13(2): 415-418.
경구적 담관내시경검사로 진단된 총간관내 원발성간암의 종양색전에 의한 폐쇄성 황달 1예 ( Obstructive Jaundice Caused by the Fragment of Hepatocellular Carcinoma in the Common Hepatic Duct Confirmed by Peroral Choledochoscopy )
유효민, 정재복, 송시영, 신용준, 박상진, 전재윤, 강진경, 박인서 (Hyo Min Yoo, Jae Bock Chung, Si Young Song, Young Jun Shin, Sang Jin Park, Chae Yoon Chon, Jin Kyung Kang and In Suh Park)
Abstract
The causes of jaundice in patients with hepatocellular carcinoma are usually attributed to the underlying liver diseases or extensive hepatic destruction by tumor. Obstructive jaundice by the intraluminal tumor fragment of intrahepatic and/or extrahepatic bile duct in hepatocellular carcinoma is exceedingly rare and usually diagnosed by operation or autopsy. Recently, we observed a patient in whom the fragment of tumor from the primary hepatocellular carclnoma obstructed the common hepatic duct, which was confirmed by peroral choledochoscopy. Using peroral choledochoscopy. we could see the mass located at the common hepatic duct and diagnose histologically by cytologic examination of aspirated material of common bile duct. We describe here this rare case with review the literature on primary hepatocellular carcinoma with jaundice caused by biliary obstruction.
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