肝细胞癌中的胆管梗阻——经内镜逆行胆管造影可视化。病例报告。

Bile obstruction in hepatocellular carcinoma--visualization by endoscopic retrograde cholangiography. A case report.

作者信息

Moosa M R, Segal I, Mannell A, Hodkinson J H, Paterson A

出版信息

S Afr Med J. 1984;66(25):962-4.

Abstract

Extrahepatic biliary obstruction is a rare presentation in hepatocellular carcinoma (HCC), only 31 cases having been reported in the literature. We describe a patient with extrahepatic biliary obstruction in whom endoscopic retrograde cholangiography was suggestive of cholangiocarcinoma. Laparotomy and subsequent investigation, however, confirmed HCC metastasizing to the common hepatic duct. The cholangiographic appearance of HCC involving extrahepatic bile ducts is emphasized and features differentiating it from cholangiocarcinoma are highlighted. Even though extrahepatic biliary obstruction in HCC is rare, this disorder should be considered in the differential diagnosis of obstructive biliary tract disease.

摘要

肝外胆管梗阻在肝细胞癌（HCC）中是一种罕见的表现，文献中仅报道过31例。我们描述了一名患有肝外胆管梗阻的患者，其内镜逆行胆管造影提示为胆管癌。然而，剖腹手术及后续检查证实为HCC转移至肝总管。本文强调了累及肝外胆管的HCC的胆管造影表现，并突出了其与胆管癌的鉴别特征。尽管HCC中的肝外胆管梗阻很少见，但在梗阻性胆道疾病的鉴别诊断中应考虑到这种情况。