Abstract
A 51-year-old man was initially seen at another institution for right upper quadrant pain. An abdominal computed tomographic scan revealed a hepatic mass in the left lateral segment and tumor thrombi invading continuously from the mass to the common hepatic duct. He was admitted to our hospital and diagnosed as hepatocellular carcinoma invading the biliary tract. He was given hepatic arterial injection chemotherapy using CDDP powder (100 mg monthly) due to the obstructive jaundice (T-Bil. 7.4). After the second course, the tumor thrombi underwent involution and the jaundice disappeared. Extended left hepatectomy with partial resection of caudal lobe and plasty of hepatic bile duct were performed. We report a case of successfully resected hepatocellular carcinoma with bile duct thrombi after neoadjuvant hepatic artery injection chemotherapy.
