Biliary obstruction caused by intrabiliary transplantation from hepatocellular carcinoma

被引:23
作者
Narita, R [1 ]
Oto, T [1 ]
Mimura, Y [1 ]
Ono, M [1 ]
Abe, S [1 ]
Tabaru, A [1 ]
Yoshikawa, I [1 ]
Tanimoto, A [1 ]
Otsuki, M [1 ]
机构
[1] Univ Occupat & Environm Hlth, Dept Internal Med 3, Sch Med, Yahatanishi Ku, Kitakyushu, Fukuoka 8078555, Japan
关键词
hepatocellular carcinoma; intrabiliary growth type; intrabiliary transplantation;
D O I
10.1007/s535-002-8134-0
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A rare autopsy case of hepatocellular carcinoma (HCC) presenting as extrahepatic bile duct obstruction is reported. A 54-year-old man who had been treated at another hospital for obstructive jaundice was referred to our hospital and admitted on March 1, 1998, because of progressive jaundice. On hospital day 94, he died of bleeding esophageal varices. At autopsy, a bile duct tumor, measuring 3.0 X 3.5 cm and adhering to the wall of the left hepatic duct, occluded the common hepatic duct at the hilus. A tumor measuring 2.0 X 2.0 cm was found in the parenchyma of the left liver lobe. The parenchymal tumor was not continuous with the extrahepatic bile duct tumor. Histologically, the bile duct tumor and the parenchymal tumor of the left lobe were diagnosed as HCC. The bile duct tumor was attached to the mucosa of the bile duct with a thin stalk. No invasive growth into the submucosa was observed. The tumor may have been an intrabiliary transplantation from the HCC in the left lobe via the bile duct.
引用
收藏
页码:55 / 58
页数:4
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