Korean Journal of Gastrointestinal Endoscopy 1998;18(6): 968-975.
증례 : 식도 위장관 ; 간내 담석이 위치한 부위와 다른 부위에 병발된 간내 담관암 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Intrahepatic Cholangiocarcinoma Developed in a Remote Region from the Site of Hepatolithiasis )
이정환, 허병원, 임형준, 이진수, 손장욱, 박상훈, 이정용, 김재선, 박영태, 김진호, 김종극 (Jung Whan Lee, Byung Won Hur, Hyung Joon Yim, Jin Soo Lee, Jang Wook Sohn, Sang Hoon Park, Jung Yong Lee, Jae Seon Kim, Young Tae Bak, Jin Ho Kim and Jong Guk Kim)
Abstract
An association of hepatolithiasis and cholangiocarcinoma is thought to be rare, with a rate reported to be 2.36%-10%. Most of the cholangiocarcinomas concurrent with intrahepatic stones are found in the vicinity of the hepatolithiasis, and the diagnosis of intrahepatic cholangiocarcinoma in cases with hepatolithiasis is very difficult to detect preoperatively in spite of recent developments in techniques of imaging studies. Recently, the development of cholangiocarcinoma was reportd even after the complete removal of the hepatic stones. Thus, bile stasis and bacterial infecton appear to be important causative factors causing cholangiocarcinoma rather than the stone itself. A rare case is reported on intrahepatic cholangiocarcinoma developed in a remote region from the site of the hepatolithiasis. Therefore, the possible presence of cholangiocarcinoma should always be considered and sought during the diagnosis and treatment of hepatolithiasis. (Korean J Gastrointest Endosc 18: 968-973, 1998)
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