- A Case of Hepatocellular Carcinoma with Bile Duct Invasion
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Danbi Lee, Kang Mo Kim, Young-Suk Lim, Han Chu Lee, Young-Hwa Chung, Yung Sang Lee, Dong Jin Suh
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Journal of the Korean Liver Cancer Study Group. 2008;8(1):55-58. Published online June 30, 2008
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Abstract
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- Bile duct invasion of hepatocellular carcinoma (HCC) is rare, ranging from 1.2% to 9 %. A 51-year-old male
patient visited our hospital due to jaundice. He had been infected with hepatitis B virus. He had icteric sclera
without abdominal distension or tenderness. The level of total and direct bilirubin was 16.7 and 7.8 mg/dL, each
other. The level of AFP was 4690 ng/mL. CT scan showed ill-defined hypervascular mass involving left hepatic
lobe, left intrahepatic duct and common hepatic duct. He had been diagnosed as HCC on liver biopsy. We
performed total 3 PTBDs in right, left lateral, and left medial side of the bile duct. After then, he was treated with
two transarterial chemoembolizations. Finally, we carried out extended left lobectomy. After the surgery, he has
been taken care at OPD without evidence of recurrence during 8 months.
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