- A Case of Hepatocellular Carcinoma With Bile Duct Thrombi Presenting Obstructive Jaundice
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Su Rin Shin, Geum-Youn Gwak, Cheol Keun Park, Won Jae Lee, Moon Seok Choi, Joon Hyeok Lee, Kwang Cheol Koh, Seung Won Paik, Byung Chul Yoo
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Journal of the Korean Liver Cancer Study Group. 2008;8(1):47-50. Published online June 30, 2008
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Abstract
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- Although invasion into blood vessels, particularly the portal vein, is a common feature of hepatocellular
carcinoma (HCC), intrabile duct invasion has been considered rare. HCC with bile duct thrombi is occasionally
misdiagnosed as biliary carcinoma or stone, and tends to have a worse clinical course than HCC without bile duct
thrombi, probably attributable to the low resectability rate secondary to poor functional reserve caused by
obstructive jaundice, and combined major vascular invasion. However, a few data demonstrated that obstructive
jaundice aroused an early detection of HCC, leading to a better survival. Herein, we describe a case of HCC with
bile duct thrombi, which was diagnosed at an early stage with obstructive jaundice and had a favorable course
after surgical resection.
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