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Journal of the Korean Liver Cancer Study 2009;9(1):90-93.
Published online June 30, 2009.
A Case of Icteric Hepatocellular Carcinoma Developed in Young Age
Jong Kyu Park, Young Seok Kim, Sang Gyune Kim, Seung Won Jeong, Jae Young Jang, Hyun Jong Choi, Jong Ho Moon, Hong Soo Kim, Moon Sung Lee, Chan Sup Shim, Boo Sung Kim
Institute of Digestive Reserch, Department of Interanl Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea
Correspondence:  Young Seok Kim,
Email: liverkys@schbc.ac.kr
Copyright ©2009 by The Korean Liver Cancer Association
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.
Key Words: Icteric hepatocellular carcinoma
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