Abstract

A 51-year-old-male was admitted due to epigastric discomfort. He had history of alcoholism. Physical findings revealed that he had tenderness on right upper quadrant with jaundice. Total bilirubin was 8.3 mg/dL, AST/ALT was 40/53 IU/L, and AFP was 38,925 ng/ml. Computed tomography showed ill-defined mass in the right hepatic lobe and intraductal mass measuring 3cm in diameter in common bile duct. PTBD was performed via B3 and on cholangiogram, there was abrupt cut-off at confluence level of common hepatic duct. After PTBD, jaundice was relieved. After then, TACE and surgical resection was done. There was a large mass measuring 6cm in the right hepatic lobe with intraductal extention to common bile duct. After then, the patient survives 30 months up to date and is still alive.

• Keywords: Bile duct invasion;Hepatocellular carcinoma