Journal of Yeungnam Medical Science
- 제25권2호
- /
- Pages.165-170
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- 2008
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- 2799-8010(eISSN)
폐쇄성 황달로 내원한 담관내 증식을 동반한 간세포암 1예
A Case of Hepatocellular Carcinoma with intradural growth Presenting as Obstructive Jaundice
- 김승범 (영남대학교 의과대학 내과학교실) ;
-
김태년
(영남대학교 의과대학 내과학교실) ;
- ;
- 이호찬 (영남대학교 의과대학 내과학교실) ;
- 박재현 (영남대학교 의과대학 내과학교실) ;
-
은종렬
(영남대학교 의과대학 내과학교실) ;
-
장병익
(영남대학교 의과대학 내과학교실) ;
-
이헌주
(영남대학교 의과대학 내과학교실) ;
-
윤성수
(영남대학교 의과대학 외과학교실) ;
-
배영경
(영남대학교 의과대학 병리학교실)
- Kim, Sung-Bum (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
-
Kim, Tae-Nyeun
(Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Kim, Sung-Jun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Lee, Ho-Chan (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Park, Jae-Hyun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
-
Eun, Jong-Ryul
(Department of Internal Medicine, College of Medicine, Yeungnam University) ;
-
Jang, Byung-Ik
(Department of Internal Medicine, College of Medicine, Yeungnam University) ;
-
Lee, Heon-Ju
(Department of Internal Medicine, College of Medicine, Yeungnam University) ;
-
Yun, Sung-Su
(Department of Surgery, College of Medicine, Yeungnam University) ;
-
Bae, Young-Kyung
(Department of Pathology, College of Medicine, Yeungnam University)
- 발행 : 2008.12.30
초록
The incidence of hepatocellular carcinoma presenting as obstructive jaundice is 0.7~9%. The mechanisms of obstructive jaundice include bile duct invasion by tumor, tumor thrombi, blood clots, direct bile duct compression by tumor, and intraductal tumor growth. We report a rare case of hepatocellular carcinoma with intraductal growth. A 46-year-old woman was admitted due to colicky right upper abdominal pain and jaundice for 4 days. Computed tomography showed dilatation of the left intrahepatic duct, and endoscopic retrograde cholangiography showed a filling defect in the left main intrahepatic duct. We performed a left lobectomy with a Roux-en-Y hepaticojejunostomy. The tumor was diagnosed as a hepatocellular carcinoma with intraductal growth.