title: [An icteric type hepatocellular carcinoma with no detectable tumor in the liver but with an intrabile duct recurrent tumor].
abstract: A 70-year-old man was admitted to our hospital with obstructive jaundice. We performed a laparotomy. The intraductal tumor was removed with the extrahepatic bile ducts. A histological examination of the tumor showed an icteric type hepatocellular carcinoma. The recurrent tumor was detected as intrajejunal tumor thrombi by a CT scan. No lesions were detected in the liver by a CT scan, ultrasonography, and angiography. We performed the second laparotomy. The tumor thrombi in jejunal limb were removed. At 2 months after the operation, an intrahepatic lesion and tumor thrombi were detected. TACE were performed two times and the response was CR. At 16 months after the operation, no recurrence has been seen in this patient.
authors.affiliation: Dept. of Surgery, Osaka National Hospital, National Hospital Organization.
authors.forename: Masaki
authors.initials: M
authors.lastname: Kashiwazaki
authors.forename: Shoji
authors.initials: S
authors.lastname: Nakamori
authors.forename: Tomoki
authors.initials: T
authors.lastname: Makino
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Omura
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Yasui
authors.forename: Masakazu
authors.initials: M
authors.lastname: Ikenaga
authors.forename: Michihiko
authors.initials: M
authors.lastname: Miyazaki
authors.forename: Motohiro
authors.initials: M
authors.lastname: Hirao
authors.forename: Koji
authors.initials: K
authors.lastname: Takami
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Fujitani
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Mishima
authors.forename: Takashi
authors.initials: T
authors.lastname: Sugiura
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Tsujinaka
mesh_terms: D000368:Aged; D000792:Angiography; D001650:Bile Duct Neoplasms / Q000097:blood / Q000556:secondary* / Q000601:surgery*; D015415:Biomarkers / Q000097:blood; D006528:Carcinoma, Hepatocellular / Q000097:blood / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000097:blood / Q000473:pathology* / Q000601:surgery*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000098:blood supply / Q000556:secondary* / Q000601:surgery; D009382:Neoplasms, Unknown Primary / Q000097:blood / Q000473:pathology / Q000601:surgery; D011498:Protein Precursors / Q000097:blood; D011516:Prothrombin; D014057:Tomography, X-Ray Computed
chemical_list: D015415:Biomarkers; D011498:Protein Precursors; C008208:acarboxyprothrombin; D011516:Prothrombin