A CASE OF HEPATOCELLULAR CARCINOMA WITH INTRAHEPATIC BILE DUCT DEVELOPMENT WITHOUT OBSTRUCTIVE JAUNDICE
| Autor: | Ryuji Hirai, Kazuhiko Hayashi, Syuichi Nomura, Sumiji Sasaki, Yoshiyuki Usui |
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| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Cirrhosis medicine.diagnostic_test Bile duct business.industry medicine.medical_treatment Intrahepatic bile ducts medicine.disease digestive system diseases Lesion medicine.anatomical_structure Cholangiography Common hepatic duct Laparotomy Hepatocellular carcinoma medicine Radiology medicine.symptom business |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 54:1612-1616 |
| ISSN: | 0386-9776 |
| DOI: | 10.3919/ringe1963.54.1612 |
| Popis: | This paper describes a case of hepatocellular carcinoma (HCC) with intrahepatic bile duct development, in a patient who was anicteric and without dilatation of the intrahepatic bile ducts. A 76-year-old woman was admitted to the hospital because of elevated AFP level in September. There was a history of TAE for HCC in the medial segment of the liver about one year and 5 months before. AFP was 2, 430ng/ml, and 15-minute ICG delaying rate was 20%. Ultrasonography and CT revealed a lesion of 1.7cm in diameter in the anterosuperior segment (lesion A) and 1.5cm lesion in the medial segment (lesion B). Furthermore, a lesion of 1.5cm in diameter was noted cranial to the bifurcation of the portal vein (lesion C). Lesion C appeared to be covered with a thick capsule, but its continuity with the bile duct was unclear. Lesion A and B were diagnosed as HCC preoperatively, but C was undiagnosed at the time of laparotomy. By means of intraoperative ultrasonography and cholangiography, lesion C was found to be a HCC extending from the right hepatic duct to the common hepatic duct. Since the patient had cirrhosis of the liver and was also of advanced age, partial resection of the anterior and medial segments was performed, and the tumor in the bile duct was excised. Histological examination showed that lesion A, B, and C were all HCC with a trabecular pattern. |
| Databáze: | OpenAIRE |
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