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A Case of Successful Treatment for Obstructive Jaundice in Hepatocellular Carcinoma with A Biliary Invasion by Transcatheter Arterial Chemoembolization after Biliary Drainage
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·ùÁ¤ÈÆ(Yu Chung-Hoon) - Ä¥°î°æºÏ´ëÇб³º´¿ø ¼Òȱ⳻°ú
¹ÚÁ¤±æ(Park Jung-Gil) - Ä¥°î°æºÏ´ëÇб³º´¿ø ¼Òȱ⳻°ú
±è±Ô¿µ(Kim Gyu-Young) - Ä¥°î°æºÏ´ëÇб³º´¿ø ¼Òȱ⳻°ú
ȲÈñ¿µ(Hwang Hee-Young) - Ä¥°î°æºÏ´ëÇб³º´¿ø ¼Òȱ⳻°ú
Á¤¹Î±Ô(Jung Min-Kyu) - Ä¥°î°æºÏ´ëÇб³º´¿ø ¼Òȱ⳻°ú
Á¶Ã¢¹Î(Cho Chang-Min) - Ä¥°î°æºÏ´ëÇб³º´¿ø ¼Òȱ⳻°ú
¹èÇÑÀÍ(Bae Han-Ik) - Ä¥°î°æºÏ´ëÇб³º´¿ø º´¸®°ú
±è°©Ã¶(Kim Gab-Chul) - Ä¥°î°æºÏ´ëÇб³º´¿ø ¿µ»óÀÇÇаú
Abstract
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.
Å°¿öµå
Jaundice, Biliary tract, Carcinoma, Hepatocellular, Chemoembolization
KMID :
0985520140190010031
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