Abstract

Jaundice presents in 19% to 40% of patients with hepatocellular carcinoma (HCC) at the time of diagnosis and usually occurs in later stages. In most situations, it is due to diffuse tumor infiltration of liver parenchyma, hilar invasion, or progressive terminal liver failure (advanced underlying cirrhosis). Obstructive jaundice as the main presenting clinical feature is uncommon. Only 1~12% of HCC patients manifest obstructive jaundice as the initial complaint. Such cases are clinically classified as “icteric type hepatoma”, or “cholestatic type of HCC”. Identification of this group of patients is clinically important, because surgical treatment may be beneficial. We report a case of icteric HCC developed in young age.

• Keywords: Icteric hepatocellular carcinoma