title: Small cell carcinoma of the liver and biliary tract without jaundice.
abstract: An 80-year-old woman presenting with chest pain was found to have a large, lobulated soft tissue mass in the liver and nearby tissues on abdominal computed tomography (CT). The tumor had invaded the common hepatic artery and main portal vein. Jaundice developed 4 wk later, at which point, a pancreas and biliary CT scan revealed a large mass in the right lobe of the liver and a hilar duct obstruction, which was found to be a small cell carcinoma. Despite its rarity, liver and bile duct small cell carcinoma should be considered in the differential diagnosis of atypical chest pain without jaundice.
authors.affiliation: Jae-Min Jo, Yoo-kyung Cho, Ji-Young Rhee, Jung-Mi Kwon, Woo-Kun Kim, Sang-Hoon Han, Department of Internal Medicine, Jeju National University Hospital, Jeju-si 890-716, Jeju Self-Governing Province, South Korea.
authors.forename: Jae-Min
authors.initials: JM
authors.lastname: Jo
authors.forename: Yoo-Kyung
authors.initials: YK
authors.lastname: Cho
authors.forename: Chang-Lim
authors.initials: CL
authors.lastname: Hyun
authors.forename: Kyoung-Hee
authors.initials: KH
authors.lastname: Han
authors.forename: Ji-Young
authors.initials: JY
authors.lastname: Rhee
authors.forename: Jung-Mi
authors.initials: JM
authors.lastname: Kwon
authors.forename: Woo-Kun
authors.initials: WK
authors.lastname: Kim
authors.forename: Sang-Hoon
authors.initials: SH
authors.lastname: Han
mesh_terms: D000369:Aged, 80 and over; D001661:Biliary Tract Neoplasms / Q000150:complications / Q000473:pathology* / Q000628:therapy; D001706:Biopsy; D018288:Carcinoma, Small Cell / Q000150:complications / Q000473:pathology* / Q000628:therapy; D002637:Chest Pain / Q000209:etiology; D002779:Cholestasis / Q000209:etiology; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000473:pathology* / Q000628:therapy; D009361:Neoplasm Invasiveness; D010166:Palliative Care; D011237:Predictive Value of Tests; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Bile duct mass; Extrapulmonary small cell carcinoma; Jaundice; Liver mass; Neuroendocrine tumor