Lai S T, Lam K T, Lee K C
Medical B Unit, Princess Margaret Hospital, Kowloon, Hong Kong.
Postgrad Med J. 1992 Dec;68(806):961-3. doi: 10.1136/pgmj.68.806.961.
Major biliary tract obstruction caused by tumour invasion is a rare manifestation of hepatocellular carcinoma. The authors had the opportunity to diagnose and treat five such cases, three of whom had features of acute cholangitis. The prevalence of both hepatocellular carcinoma and recurrent pyogenic cholangitis is high in patients from the Far East. The former may first present under the guise of the latter. Gastroenterologists and surgeons should be aware of hepatocellular carcinoma when managing these patients who present with obstructive jaundice, gross hepatomegaly and cholangitis.
肿瘤侵犯引起的主要胆道梗阻是肝细胞癌的一种罕见表现。作者有机会诊断并治疗了5例此类病例，其中3例有急性胆管炎的特征。在远东地区的患者中，肝细胞癌和复发性化脓性胆管炎的患病率都很高。前者可能最初以后者的形式出现。在处理这些出现梗阻性黄疸、肝脏明显肿大和胆管炎的患者时，胃肠病学家和外科医生应警惕肝细胞癌。
