주 담도 침습을 동반한 간세포암에서 간동맥 화학 색전술 후 성공적인 치료를 보인 폐쇄성 황달 1예

서지정보

ㆍ발행기관 : 대한췌담도학회 ㆍ수록지정보 : 대한췌담도학회지 / 19권 / 1호
ㆍ저자명 : 류정훈, 박정길, 김규영, 황희영, 정민규, 배한익, 김갑철, 조창민

영어 초록

Biliary invasion by hepatocellular carcinoma (HCC) is much less common. Patients manifest obstructive jaundice as the initial complaint, but most of them are inoperable. We report a case of completely improved biliary invasion in HCC after transcatheter arterial chemoembolization (TACE). A 61-year-old woman was referred for evaluation of jaundice. A biliary invasion of huge HCC was confirmed by image of abdominal computerized tomography (CT) and biopsy specimen. After improvement of jaundice by endoscopic retrograde biliary drainage and percutaneous transhepatic biliary drainage, she underwent TACE as a palliative treatment. Follow-up CT showed partial lipiodol uptake in hepatic tumor and its bile duct invasion. In follow-up endoscopic retrograde cholangiopancreatography, occluded cholangiogram showed neither luminal obstruction nor filling defect after removal of biliary stent. Our case suggests that obstructive jaundice, caused by inoperable huge HCC with biliary invasion, may be expected to resolve successfully biliary obstruction by a choice of TACE.

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