Mucin-Producing Intrahepatic Cholangiocelluar Carcinoma Presenting as a Focal Dilatation of the Intrahepatic Bile Duct.
- Author:
Joo Dong KIM
1
;
Hyuk Jai JANG
;
Yong Pil CHO
;
Yong Ho KIM
;
Seung Mun JUNG
;
Kil Hyun KANG
;
Myeng Sik HAN
Author Information
1. Department of Surgery, Ulsan University College of Medicine and Asan Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Mucin-producing intrahepatic cholangiocellular carcinoma (MPCC);
Focal dilatation of intrahepatic bile duct
- MeSH:
Angiography;
Bile Ducts, Intrahepatic*;
Cholangiocarcinoma;
Dilatation*;
Female;
Hepatic Duct, Common;
Humans;
Liver;
Mastectomy, Segmental;
Middle Aged;
Mucins;
Physical Examination;
Recurrence;
Ultrasonography
- From:Journal of the Korean Surgical Society
2004;66(4):354-357
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of a mucin-producing intrahepatic cholangiocellular carcinoma (MPCC) is reported. A 58-year old female presented with epigastric discomfort of several years duration. The physical examination and laboratory findings were normal. Abdominal ultrasonography (US) and computed tomography (CT) showed a focal dilatation of the right posterior intrahepatic bile duct. There was no abnormal mass in the liver parenchyma. Endoscopic retrograde cholangiopancreaticography (ERCP) showed a filling defect in the right posterior hepatic duct. There was no anatomical abnormality and abnormal staining on the heaptic angiography. At the operation, the right posterior hepatic duct was filled with mucin. The patient had a right posterior segmentectomy. Histologically, a 2.5 X 0.6 X 0.6 cm sized mucin-producing intrahepatic cholangiocellular carcinoma was found in segment 6 of the liver. The postoperative recovery was good, and the patient has had a good social life for the last 3 years, with no evidence of tumor recurrence. In patients with a focal dilatation of the intrahepatic bile duct on CT or US with no underlying cause, an intrahepatic malignancy has to be suspected.
