간문부 담도암의 형태로 나타난 담관 내 간세포암
Hepatocellular Carcinoma Presenting as Klatskin’s Tumor
안상훈, 조용필, 장혁재, 김지수, 김용호, 정승문, 한명식,
소속 상세정보
안상훈 ( Ahn Sang-Hoon )
울산대학교 의과대학 강릉아산병원 외과학교실
조용필 ( Cho Yong-Pil )
울산대학교 의과대학 강릉아산병원 외과학교실
장혁재 ( Jang Hyuk-Jai )
울산대학교 의과대학 강릉아산병원 외과학교실
김지수 ( Kim Ji-Su )
아산재단 강릉병원 외과학교실
김용호 ( Kim Yong-Ho )
울산대학교 의과대학 강릉아산병원 외과
정승문 ( Jung Seung-Mun )
아산재단 강릉병원 진단방사선과학교실
한명식 ( Han Myoung-Sik )
울산대학교 의과대학 강릉아산병원 외과학교실
KMID : 0371320020620030266
Abstract
Hepatocellular carcinoma has a great tendency to invade blood vessels,
particularly the portal vein. Invasion into the biliary lumen has been
considered to be a rather rare event. Ultrasonogram and endoscopic
retrograde cholangiopancreatography of the patient, a 65-year-old man
presenting with obstructive jaundice, revealed an obstructing mass at the
common hepatic duct and dilatation of the intrahepatic bile ducts. Abdominal
computed tomography and hepatic angiogram showed no abnormal mass and
abnormal staining in the liver. Obstructive jaundice due to Klatskin’s tumor
was suspected preoperatively. During operation, although no tumor was
palpable in the liver, an intraductal tumor measuring 3.5×3.0 ㎝ was found
in the common hepatic duct. Bile duct resection was performed in a patient.
Histologically, the tumor, a hepatocellular carcinoma showing abundant
eosinophilic cytoplasm, was structurally arranged in a solid and trabecular
pattern. We report a case of hepatocellular carcinoma mainly presenting as
Klatskin tumor.
키워드
담관 내 간세포암; Hepatocellular carcinoma in common hepatic duct;
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