Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
권호 표지

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
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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.

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