Hepatocellular carcinoma with obstructive jaundice successfully treated with a self-expandable metallic stent.
We report on a 71-year old man with hepatocellular carcinoma (HCC) whose obstructive jaundice was successfully treated with external irradiation and a self-expandable metallic stent (EMS); Wallstent; Schneider (Europe) AG, Bülach, Switzerland. He was admitted to our hospital because of jaundice. HCC was found in S8; the tumor had invaded the bile duct with growth in the common hepatic duct. Endoscopic nasobiliary drainage was performed with difficulty. Radiation therapy to the stenosis enabled us to place a Wallstent endoscopically. He survived without icterus for 1 year.
Okazaki
M
M
Department of Internal Medicine, Chugoku Chuou Hospital, Fukuyama, Japan.
Mizuta
A
A
Hamada
N
N
Kawamura
N
N
Nakao
K
K
Kikuchi
T
T
Osada
T
T
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D002758:Cholangiography; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D007564:Japan; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D010166:Palliative Care / Q000379:methods*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome