A case of extrahepatic bile duct hepatocellular carcinoma with no detectable primary hepatic tumor.
- Author:
Choul Ki PARK
1
;
Kwang Ro JOO
;
Kyung Yup KIM
;
Won Taek OH
;
Chi Hoon MAENG
;
Sung Jig LIM
;
Joung Il LEE
Author Information
1. Department of Internal Medicine, Kyung-Hee University School of Medicine, Seoul, Korea. krjoo@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Extrahepatic bile duct;
Hepatocellular carcinoma;
Obstructive jaundice;
Thrombus
- MeSH:
Aged;
Bile Ducts;
Bile Ducts, Extrahepatic;
Biliary Tract;
Carcinoma, Hepatocellular;
Cholangiography;
Female;
Humans;
Jaundice;
Jaundice, Obstructive;
Liver;
Necrosis;
Thrombosis
- From:Korean Journal of Medicine
2008;75(5):559-563
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obstructive jaundice associated with hepatocellular carcinoma (HCC) is an uncommon symptom caused by intraductal tumor growth, the migration of tumor necrosis, blood clots within the biliary tract, or compression of the biliary tract by the tumor. Most cases of icteric-type HCC involve a main tumor in the liver parenchyma. Bile duct HCC without a primary hepatic tumor is extremely rare, but because it shows similar clinical manifestations and imaging results to extrahepatic bile duct cancer, it is possible to misdiagnose this condition as a primary bile duct tumor or choldocholithiasis. Recently, we experienced a case of obstructive jaundice associated with an extrahepatic bile duct tumor in a 69-year-old woman. Upon radiologic studies and endoscopic cholangiography, the cause of obstructive jaundice was initially attributed to the bile duct tumor itself. However, subsequent analysis indicated that the condition was, in fact, due to bile duct thrombi associated with extrahepatic bile duct HCC.
