A Case of Intrahepatic Cholangiocarcinoma Developed in a Remote Region from the Site of Hepatolithiasis.
- Author:
Jung Whan LEE
1
;
Byung Won HUR
;
Hyung Joon YIM
;
Jin Soo LEE
;
Jang Wook SOHN
;
Sang Hoon PARK
;
Jung Yong LEE
;
Jae Seon KIM
;
Young Tae BAK
;
Jin Ho KIM
;
Jong Guk KIM
Author Information
1. Department of Internal Medicine, Korea University, College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hepatolithiasis;
Cholangiocarcinoma
- MeSH:
Bile;
Cholangiocarcinoma*;
Diagnosis;
Cholangiocarcinoma
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(6):968-975
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An association of hepatolithiasis and cholangiocarcinoma is thought to be rare, with a rate reported to be 2.36%-10%. Most of the cholangiocarcinomas concurrent with intrahepatic stones are found in the vicinity of the hepatolithiasis, and the diagnosis of intrahepatic cholangiocarcinoma in cases with hepatolithiasis is very difficult to detect preoperatively in spite of recent developments in techniques of imaging studies. Recently, the development of cholangiocarcinoma was reportd even after the complete removal of the hepatic stones. Thus, bile stasis and bacterial infecton appear to be important causative factors causing cholangiocarcinoma rather than the stone itself. A rare case is reported on intrahepatic cholangiocarcinoma developed in a remote region from the site of the hepatolithiasis. Therefore, the possible presence of cholangiocarcinoma should always be considered and sought during the diagnosis and treatment of hepatolithiasis.
