Journal of Yeungnam Medical Science
- Volume 25 Issue 2
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- Pages.165-170
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- 2008
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- 2799-8010(eISSN)
A Case of Hepatocellular Carcinoma with intradural growth Presenting as Obstructive Jaundice
폐쇄성 황달로 내원한 담관내 증식을 동반한 간세포암 1예
- Kim, Sung-Bum (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Kim, Tae-Nyeun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Kim, Sung-Jun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Lee, Ho-Chan (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Park, Jae-Hyun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Eun, Jong-Ryul (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Jang, Byung-Ik (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Lee, Heon-Ju (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Yun, Sung-Su (Department of Surgery, College of Medicine, Yeungnam University) ;
- Bae, Young-Kyung (Department of Pathology, College of Medicine, Yeungnam University)
- 김승범 (영남대학교 의과대학 내과학교실) ;
- 김태년 (영남대학교 의과대학 내과학교실) ;
- ;
- 이호찬 (영남대학교 의과대학 내과학교실) ;
- 박재현 (영남대학교 의과대학 내과학교실) ;
- 은종렬 (영남대학교 의과대학 내과학교실) ;
- 장병익 (영남대학교 의과대학 내과학교실) ;
- 이헌주 (영남대학교 의과대학 내과학교실) ;
- 윤성수 (영남대학교 의과대학 외과학교실) ;
- 배영경 (영남대학교 의과대학 병리학교실)
- Published : 2008.12.30
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.