Hepatocellular Carcinoma with Obstructive Jaundice Confirmed by Percutaneous Transhepatic Cholangioscopy (PTCS) and Peroral Cholangioscopy (POCS) / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 681-691, 1996.
Artículo
en Coreano
| WPRIM
| ID: wpr-46462
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Trombosis
/
Conductos Biliares
/
Biopsia
/
Colestasis
/
Carcinoma Hepatocelular
/
Ictericia Obstructiva
/
Ictericia
/
Hígado
/
Cirrosis Hepática
/
Ganglios Linfáticos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Año:
1996
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS