タイトル無し

概要

論文の詳細を見る
A 53-year-old male was admitted to our hospital with progressive jaundice. Hepatic angiogram revealed two hypervascular lesions. One was seen in the anterior segment of the right hepatic lobe. Another corresponded well to the extrahepatic bile duct obstruction seen on PTC. With an antemortem diagnosis of small hepatocellular carcinoma and metastasis to the lumen of the extrahepatic bile duct, the patient died from hepatic failure.<BR>Autopsy disclosed an encapsulated hepatocellular carcinoma measuring 25×25×20mm in the anterior segment of the right lobe of the non-cirrhotic liver. There were metastases to hepatoduodenal lymph nodes, from which the tumor had extended into the wall of the proximal common bile duct by lymphatic routes and grown continuously in a distal and proximal direction to fill the entire extrahepatic bile duct. No metastases to other organs were noted.<BR>The discussion includes a review of the world literature on icteric type hepatoma and mechanisms of HCC-induced biliary obstruction.
社団法人日本肝臓学会の論文