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Journal of the Korean Liver Cancer Study 2008;8(1):55-58.
Published online June 30, 2008.
A Case of Hepatocellular Carcinoma with Bile Duct Invasion
Danbi Lee, Kang Mo Kim, Young-Suk Lim, Han Chu Lee, Young-Hwa Chung, Yung Sang Lee, Dong Jin Suh
Departments of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
Correspondence:  Kang Mo Kim,
Email: kimkm70@amc.seoul.kr
Copyright ©2008 by The Korean Liver Cancer Association
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.
Key Words: Hepatocellular carcinoma; Bile duct invasion


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