- 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.
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