胆管内へ発育進展した再発肝癌の1例

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Hepatocellular carcinoma (HCC), growing into an bile duct is rare. We present the recurrent HCC growing into the commmon bile duct like polyp with obstructive jaundice and hemobilia. Histopathologically, it was daiagnosed the mixed type of HCC and CCC, which Allen advocated.<BR>A 53-years man, who presented a clinical picture of obstructive jaundice with upper abdominal pain, was found to have hepatoma and embolus blocking the common hepatic duct. Subsegmentectomy of the liver segment S7 and removal of the clot in the common hepatic duct were performed. Three months later, jaundice and spiky fever were found and the patient died of hepatic failure. At autopsy, recurrent hepatoma and tumor in the common bile duct growing like polyp were found and histopathologically, the recurrent tumor was diagnosed the mixed type hepatoma.
社団法人日本肝臓学会の論文