| Occult hepatocellular carcinoma: a case report of a special icteric-type hepatoma and literature review. | |
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MedLine Citation:
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PMID: 19659667 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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. |
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Authors:
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H Chang; J Xu; Q Mu; C Qin; Z Zhang; T Wu |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-07-29 |
Journal Detail:
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Title: European journal of cancer care Volume: 19 ISSN: 1365-2354 ISO Abbreviation: Eur J Cancer Care (Engl) Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9301979 Medline TA: Eur J Cancer Care (Engl) Country: England |
Other Details:
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Languages: eng Pagination: 690-3 Citation Subset: N |
Affiliation:
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Department of Hepatobiliary & Pancreatic Surgery, Shandong Provincial Hospital, Shandong University School of Medicine, Shandong, China. changh111@hotmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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