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Journal of the Korean Liver Cancer Study 2008;8(1):51-54.
Published online June 30, 2008.
Extrahepatic Bile Duct Hepatocellular Carcinoma Presenting as Obstructive Jaundice
Ju Hyun Shim, Joong-Won Park, Sung-Sik Han, Joon-Il Choi, Seong Hoon Kim, Sang Jae Park, Eun Kyung Hong, Chang-Min Kim
Center for Liver Cancer, National Cancer Center, Goyang, Korea
Correspondence:  Joong-Won Park,
Email: jwpark@ncc.re.kr
Copyright ©2008 by The Korean Liver Cancer Association
Abstract
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.
Key Words: Obstructive jaundice; Hepatocellular carcinoma; Extrahepatic bile duct
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