Kanzo
Online ISSN : 1881-3593
Print ISSN : 0451-4203
ISSN-L : 0451-4203
Case Reports
A solitary recurrence of bile duct tumor thrombus after hepatectomy for hepatocellular carcinoma: A case report
Atsushi TakebeAkihiro ToyokawaShirou TakaseTsuyoshi TakahashiTomonori WakaharaKyouhei OgisuTakahiro AnamiYoshikazu InagakiAtsushi SugawaraSyuichi MukaiKazuhiro TeramuraTakeshi Iwasaki
Author information
JOURNAL FREE ACCESS

2012 Volume 53 Issue 5 Pages 278-283

Details
Abstract
A 73-year-old man with hepatocellular carcinoma (HCC) (S4 4.0 cm, S8 1.2 cm) underwent partial hepatectomy (S4) and intraoperative radio frequency ablation (S8) (well to moderately differentiated HCC, vp1, vv0, va0, b1, sm-). A year later, he was readmitted due to obstructive jaundice. An abdominal enhanced computed tomography and endoscopic retrograde cholangiography revealed a tumor thrombus in left bile duct without any evidence of other tumor mass in the liver parenchyma. We diagnosed that HCC had a recurrence as a bile duct tumor thrombus solitarily and left hemihepatectomy was performed. Micro residual tumor at liver cutting surface of first hepatectomy or implantation of a fragment from micro tumor thrombus may be presumed cause of recurrence. We have to pay attention to a solitary recurrence of bile duct tumor thrombus even in case of HCC with invasion to peripheral biliary duct. A systematic extended hepatectomy should be firstly selected in such case.
Content from these authors
© 2012 The Japan Society of Hepatology
Previous article Next article
feedback
Top