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Occult hepatocellular carcinoma: a case report of a special icteric‐type hepatoma and literature review
Author(s) -
CHANG H.,
XU J.,
MU Q.,
QIN C.,
ZHANG Z.,
WU T.
Publication year - 2010
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/j.1365-2354.2008.01035.x
Subject(s) - medicine , occult , hepatocellular carcinoma , bile duct , gastroenterology , jaundice , biliary drainage , common hepatic duct , pathological , lesion , thrombus , radiology , pathology , alternative medicine
CHANG H., XU J., MU Q., QIN C., ZHANG Z. & WU T. (2010) European Journal of Cancer Care 19 , 690–693 Occult hepatocellular carcinoma: a case report of a special icteric‐type hepatoma and literature review Hepatocellular carcinoma (HCC) presenting with obstructive jaundice due to bile duct tumour thrombi is classified as icteric‐type hepatoma. This report describes a case of unusual icteric‐type HCC with common bile duct thrombus, which is herein named ‘occult HCC’, as no detectable primary lesion in liver was defined pre‐operatively and intra‐operatively. A thrombectomy followed by a T biliary drainage tube placement was carried out, and the final post‐operative pathological evaluation demonstrated the tumour thrombus originated from a moderately differentiated HCC. The clinicopathological features and logical clinical interventions of this rare type of HCC were discussed with a review of the literature. The HCC patients with bile duct thrombi receiving palliative biliary drainage alone had a poor outcome. With respect to improving prognosis, a curative resection of primary HCC and tumour thrombi was suggested on the basis of performing an intensive post‐operative monitoring for early detection of primary liver lesion.