- Extrahepatic Bile Duct Hepatocellular Carcinoma Presenting as Obstructive Jaundice
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Ju Hyun Shim, Joong-Won Park, Sung-Sik Han, Joon-Il Choi, Seong Hoon Kim, Sang Jae Park, Eun Kyung Hong, Chang-Min Kim
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Journal of the Korean Liver Cancer Study Group. 2008;8(1):51-54. Published online June 30, 2008
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Abstract
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- Obstructive jaundice is a rare initial symptom of hepatocellular carcinoma (HCC) patients. We herein report a
patient with extrahepatic bile duct HCC mimicking common bile duct (CBD) cancer. A 55-year-old woman with
no risk factors developed jaundice of the obstructive type. On dynamic computed tomography, a low attenuated
mass located in the lumen of CBD with the invasion of right posterior hepatic parenchyma was identified. After
percutaneous transhepatic biliary drainage, we performed hepatectomy. Pathologic examination of the lesion
confirmed the diagnosis of hepatocellular carcinoma with biliary cell differentiation extended in the CBD.
- Successful Resection of Modified UICC stage Ⅳa Hepatocellular Carcinoma after Arterial Chemoembolization & Radiation Therapy: A Case Report
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Min An, Joong-Won Park, Jung A Shin, Tae Hyun Kim, Seong-Hoon Kim, Sang-Jae Park, Woo Jin Lee, Eun Kyung Hong, Chang-Min Kim
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Journal of the Korean Liver Cancer Study Group. 2006;6(1):56-59. Published online June 30, 2006
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Abstract
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- Surgical resection is not candidate for advanced stage hepatocellular cacinoma with portal vein thrombosis, but
transcatheter arterial chemoembolization (TACE) or radiotherapy can be considered as palliative treatment option.
We experienced a 44-old-male who has stage Ⅳa hepatocellular carcinoma. We performed TACE and 3-dimensional
conformal radiotherapy for hepatocellular carcinoma and portal vein thrombosis. Because follow up image
study showed no viable tumor, we then performed surgical resection. Surgical specimen also showed complete
tumor necrosis.
- A Case of Well-differenciatied Hepatocellular Carcinoma in Dysplastic Nodule
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Jeon-Ho Yang, Joong-Won Park, Hyun-Jung Jang, Hong-Suk Park, Sang-Jae Park, Eun Kyung Hong, Young-Soo Moon, Chang-Min Kim
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):96-100. Published online July 31, 2002
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Abstract
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- A 35-year-old male patient was referred to our hospital, because a hepatic mass had been found on CT at another hospital. He was a heavy drinker, but he has never experienced any significant disease so far. Anti-HBs Ab, HBs Ag and anti-HCV Ab were negative. AFP level was normal. Triphasic liver CT scan revealed a 1.9 cm-sized, well-enhanced lesion at S6 on arterial phase. This lesion becomes isoattenuation on portal phase and slightly enhancing lesion on delayed phase. SPIO MRI scan reavealed a 1.9 cm-sized lesion with high signal intensity at S6 on T2WI. Precontrast ultrasonography revealed a enhancing nodule with mosaic pattern on S6 Contrast-enhanced ultrasonography revealed a centrally enhancing nodule early phase that showed washout on delayed phase. We had considered as the hepatocellular carcinoma. Segmentectomy of S6 for diagnosis and treatment was performed. We confirmed it to be well-differenciated hepatocellular carcinoma in dysplastic nodule. There was no evidence of recurrence during 9-month follow-up.
- A Case of Large Well-differenciated Hepatocellular Carcinoma without Underlying Liver Cirrhosis
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Jeon-Ho Yang, Joon-Won Park, Hyun-Jung Jang, Hong-Suk Park, Sang-Jae Park, Eun Kyung Hong, Young-Soo Moon, Chan-Min Kim
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):101-104. Published online July 31, 2002
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Abstract
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- A 66-year-old male patient was referred to our hospital, because a hepatic mass had been found on CT at another hospital and confirmed as hepatocellular carcinoma by tissue diagnosis. He has never experienced any significant disease so fa. Anti-HBs, HBs antigen and anti-HCV were negative. Alpha fetoprotein level was normal. Triphasic liver CT scan revealed a 9 cm-sized, heterogenously enhanced lesion at right lobe on arterial phase. This lesion became hypoattenuation on portal phase and delayed phase. Right lobectomy for treatment was performed. We confirmed it tobe well-differenciated hepatocellular carcinoma without underlying liver cirrhosis. There was no evidence of recurrence during 2 month follow-up.
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