Cho H G, Chung J P, Lee K S, Chon C Y, Kang J K, Park I S, Kim K W, Chi H S, Kim H
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Korean J Intern Med. 1996 Jun;11(2):169-74. doi: 10.3904/kjim.1996.11.2.169.
Obstructive jaundice is rarely a presenting symptom of hepatocellular carcinoma (HCC). Most of the cases in the literature describing obstructive jaundice by HCC have a major hepatic component. Extrahepatic HCCs without primary hepatic parenchymal lesions are extremely rare. We encountered a case of extrahepatic HCC without primary hepatic parenchymal lesions in a 36-year-old man who presented with jaundice. We extensively sought primary hepatic parenchymal lesions preparatively and postoperatively with hepatic angiography and combined computed tomography (CT) studies, such as CT arterioportography and lipiodol-CT. The patient has been followed up for 1 year without definite evidence of recurrence. We herein report an unusual manifestation of HCC.
梗阻性黄疸很少是肝细胞癌（HCC）的首发症状。文献中描述的大多数由HCC导致梗阻性黄疸的病例都有主要的肝脏成分。无原发性肝实质病变的肝外HCC极为罕见。我们遇到一例36岁男性患者，其患有无原发性肝实质病变的肝外HCC，表现为黄疸。我们在术前和术后通过肝血管造影以及联合计算机断层扫描（CT）研究，如CT动脉门静脉造影和碘油CT，广泛寻找原发性肝实质病变。该患者已随访1年，无明确复发证据。我们在此报告HCC的一种不寻常表现。
