| A Case of Hepatocellular Carcinoma with Bile Duct Invasion Treated with Transarterial Chemoembolization |
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Hee Yeon Kim1, Chang Wook Kim1, Chang Don Lee1, Soo Lim Lee2, Yoo Dong Won2, Ye Il Kim2 |
1Departments of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
2Departments of Radiology, The Catholic University of Korea College of Medicine, Seoul, Korea |
Correspondence:
Chang Wook Kim,
Email: cwkim@catholic.ac.kr
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| Abstract |
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A 53-year-old female patient visited our hospital complaining of intermittent right upper quadrant pain for 6 months. Computed tomography (CT) scan revealed an irregular shaped tumor at segment 4 of the liver with biliary tumor thrombi extending into the common bile duct. Percutaneous transhepatic biliary drainage was done for decompression of bile duct dilatation. The patient underwent 6 sessions of transarterial chemoembolization (TACE). Partial response was obtained shortly after TACE. However, regrowth of intraductal tumor resulted in an obstructive jaundice. After a slight decompression of the obstructive jaundice, the patient underwent TACE. Jaundice temporarily worsened following the TACE, but improved, and follow-up CT demonstrated some shrinkage of the intraductal mass. This case indicates that obstructive-type jaundice may not be a contraindication for TACE, and aggressive TACE may improve prognoses of patients with hepatocellular carcinoma and biliary tumor thrombi. |
| Key Words:
Hepatocellular carcinoma; Biliary Tract Neoplasms; Transarterial chemoembolization; Jaundice, obstructive; Cholestasis |
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