The Korean journal of internal medicine

  • 제27권2호
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  • Pages.211-215
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  • 2012
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  • 1226-3303(pISSN)
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  • 2005-6648(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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A Case of Adenocarcinoma in situ of the Distal Common Bile Duct Diagnosed by Percutaneous Transhepatic Cholangioscopy

  • Yang, Hyo-Joon (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Jai-Hwan (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Chun, Jae-Young (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Su-Jin (Department of Radioglogy, Seoul National University Bundang Hospital) ;
  • Lee, Sang-Hyub (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Haer-Young (Department of Pathology, Seoul National University Bundang Hospital) ;
  • Hwang, Jin-Hyeok (Department of Internal Medicine, Seoul National University College of Medicine)
  • 발행 : 2012.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

Extrahepatic cholangiocarcinoma is often clinically challenging to diagnose. Even multidisciplinary approaches which include computed tomography, magnetic resonance imaging, and endoscopic retrograde cholangiography are unsatisfactory in some cases, especially with biliary stricture. Percutaneous transhepatic cholangioscopy (PTCS) with its direct visualization for biopsy appears to be a promising technique for detecting cholangiocarcinoma at an early stage. We report a case of adenocarcinoma in situ of the distal common bile duct (CBD) that was confirmed by PTCS. This case suggests the useful role of PTCS in the differential diagnosis of a distal CBD obstruction, particularly when other diagnostic modalities do not provide definitive information.

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참고문헌

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