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Hepatocellular Carcinoma with Obstructive Jaundice Confirmed by Percutaneous Transhepatic Cholangioxcopy(PTCS) and Peroral Cholangioscopy(POCS)

Other Title
담도경검사법(Cholangioscopy)으로 확진된 폐쇄성황달을 동반한 간세포암 3예
Authors
홍, 사준; 문, 영수; 이, 광재; 김, 영수; 함, 기백; 김, 진홍; 조, 성원
Citation
Taehan Sohwagi Naesigyŏng Hakhoe chi, 16(4):681-689, 1996
Journal Title
Taehan Sohwagi Naesigyŏng Hakhoe chi; The Korean journal of gastrointestinal endoscopy; 대한소화기내시경학회지
ISSN
1225-7001
Abstract
Jaundice associated with hepatocellular carcinoma usually occurs in the later stages due to the advanced underlying liver cirrhosis or tumor infiltration of the liver parenchyme. In the rare cases, obstructive jaundice presents as the ininitial manifestation of hepatocellular carcinoma. The possible mechanisms of bile duct obstruction associated with hepatocellular carcinoma include extrinsic compression of bile duct by extensive tumor infiltration of the liver or enlarged lymph node, direct tumor invasion of the biliary duct system, and bile duct obstruction by tumor thrombus, necrotic debris, or blood clots. We experienced three cases with hepatocellular carcinoma in whom obstructive jaundice were caused by intraductal involvement of the tumor, which were confirmed by percutaneous transhepatic cholangioscopy(PTCS) and peroral cholangioscopy(POCS). PTCS and POCS finding showed multiple, irreguarly shaped, yellowish soft tissue(chicken fat) and blood clots and, round protruded mass in the ble duct. Biopsy specimens revealed pathologically hepatocelluar carcinoma. (Korean J Gastrointest Endosc 16: 681-689, 1996)
Keywords
Hepatocellular carcinomaObstructive jaundicePercutaneous Transhepatic Cholangioscopy ( PTCS )Peroral Cholangioscopy ( POCS )
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Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
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