亜急性肝炎および肝内胆石症を合併した原発性肝細胞癌の一症例

抄録

A 52 year-old man admitted to our hospital for further examination of his liver disease. In his clinical examination, serum AFP was positive and liver scintigram revealed shadow defect at the right hepatic lobe. By selective celiac angiography, the findings of tumor vessles, encasement, tortuosity and dilatation of the right hepatic artery were recognized. Peritoneoscopic finding revealed scar liver of the left lobe. And so, we diagnosed of subacute hepatitis. The findings of E. R. C. P. revealed intrahepatic cholelithiasis of the left intrahepatic bile duct. Comprehensively, he was diagnosed of primary hepato-cellular carcinoma with subacute hepatitis and intrahepatic cholelithiasis. Accordingly, when these diseases are suspicious, it is very important that these complemental diagnostic methods are to be done actively.