Korean J Gastrointest Endosc > Volume 22(3); 2001 > Article

Korean Journal of Gastrointestinal Endoscopy 2001;22(3): 187-191.

증례 / 담도경을 통한 알코올 주입술이 유용했던 활달형 간세포암 ( Icteric Type Hepatocelluar Carcinoma for Which Cholangioscopic Ethanol Injection Was Effective )

이현주(Hyun Ju Lee),송문희(Moon Hee Song),서동대(Dong Dae Seo),이상수(Sang Soo Lee),성규보(Kyu Bo Sung),이영상(Young Sang Lee),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),민영일(Young Il Min),손정민(Jeoung Min Son)

Abstract

Hepatocellular carcinoma often invades the portal or hepatic veins, but rarely proliferates in the bile duct. Since curative resection is rarely possible in these cases, conservative therapy has been the sole modality. Herein, we report a case of icteric type hepatocellular carcinoma for which cholangioscopic ethanol injection was effective. By only transcatheter arterial chemoembolization in this patient, obstructive jaundice and intermittent cholangitis were not relieved. Therefore, we performed ethanol injection into the intraductal hepatoma mass under percutaneous transhepatic cholangioscopic guidance. As a result of therapy, he had been well without jaundice and cholangitis for 9 months until die. (Korean J Gastrointest Endosc 2001;22:187 - 191)

Key Words: Hepatocellular carcinoma, Transcatheter arterial chemoembolization, Percutaneous transhepatic cholangioscopic ethanol injection