A solitary recurrence of bile duct tumor thrombus after hepatectomy for hepatocellular carcinoma: A case report
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- Takebe Atsushi
- Departoment of Surgery, Yodogawa Christian Hospital
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- Toyokawa Akihiro
- Departoment of Surgery, Yodogawa Christian Hospital
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- Takase Shirou
- Departoment of Surgery, Yodogawa Christian Hospital
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- Takahashi Tsuyoshi
- Departoment of Surgery, Yodogawa Christian Hospital
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- Wakahara Tomonori
- Departoment of Surgery, Yodogawa Christian Hospital
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- Ogisu Kyouhei
- Department of Gastroenterology, Yodogawa Christian Hospital
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- Anami Takahiro
- Department of Gastroenterology, Yodogawa Christian Hospital
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- Inagaki Yoshikazu
- Department of Gastroenterology, Yodogawa Christian Hospital
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- Sugawara Atsushi
- Department of Gastroenterology, Yodogawa Christian Hospital
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- Mukai Syuichi
- Department of Gastroenterology, Yodogawa Christian Hospital
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- Teramura Kazuhiro
- Department of Pathology, Yodogawa Christian Hospital
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- Iwasaki Takeshi
- Departoment of Surgery, Yodogawa Christian Hospital
Bibliographic Information
- Other Title
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- 肝細胞癌切除後,胆管内腫瘍栓単独再発に対して再肝切除を施行した1例
- 症例報告 肝細胞癌切除後,胆管内腫瘍栓単独再発に対して再肝切除を施行した1例
- ショウレイ ホウコク カン サイボウガン セツジョ ゴ,タンカン ナイ シュヨウセン タンドク サイハツ ニ タイシテ サイカン セツジョ オ シコウ シタ 1レイ
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Abstract
A 73-year-old man with hepatocellular carcinoma (HCC) (S4 4.0 cm, S8 1.2 cm) underwent partial hepatectomy (S4) and intraoperative radio frequency ablation (S8) (well to moderately differentiated HCC, vp1, vv0, va0, b1, sm-). A year later, he was readmitted due to obstructive jaundice. An abdominal enhanced computed tomography and endoscopic retrograde cholangiography revealed a tumor thrombus in left bile duct without any evidence of other tumor mass in the liver parenchyma. We diagnosed that HCC had a recurrence as a bile duct tumor thrombus solitarily and left hemihepatectomy was performed. Micro residual tumor at liver cutting surface of first hepatectomy or implantation of a fragment from micro tumor thrombus may be presumed cause of recurrence. We have to pay attention to a solitary recurrence of bile duct tumor thrombus even in case of HCC with invasion to peripheral biliary duct. A systematic extended hepatectomy should be firstly selected in such case.<br>
Journal
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- Kanzo
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Kanzo 53 (5), 278-283, 2012
The Japan Society of Hepatology
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Details 詳細情報について
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- CRID
- 1390282679771483648
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- NII Article ID
- 10030625517
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- NII Book ID
- AN00047770
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- ISSN
- 18813593
- 04514203
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- NDL BIB ID
- 023658371
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed