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On-line Access: 2024-08-27

Received: 2023-10-17

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Journal of Zhejiang University SCIENCE A 2001 Vol.2 No.1 P.104-106

http://doi.org/10.1631/jzus.2001.0104


EVALUATION OF ERCP IN THE DIAGNOSIS OF HEPATOCELLULAR CARCINOMA INVADING BILE DUCTS


Author(s):  CAI Jian-ting, QIAN Ke-da, LU Wen-juan, YING Xin

Affiliation(s):  Second Affiliated Hospital, Medical College, Zhejiang University, Hangzhou 310009, China

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Key Words:  endoscopic retrograde cholangiopancreatography(ERCP), hepatocellular carcinoma, diagnosis, cholangiocarcinoma


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Abstract: 
endoscopic retrograde cholangiopancreatography(ERCP) was performed preoperatively on 29 patients suffering from hepatocellular carcinoma (HCC) invading bile ducts. The outstanding features were: 1. Most of the filling defects were situated within the common, right or left hepatic duct associated with proximal bile duct dilatations (17 cases); 2. Tumor encasement resulted in localised or diffused irregular strictures and dilatations (9 cases); 3. Displacemen t and stretching of the intrahepatic ducts by pressure of tumor mass (3 cases). These features are different from that in cholangiocarcinoma. ERCP should be considered as an important diagnostic procedure for HCC. It is especially useful for cases with obscure intrahepatic duct dialatation and /or an increase of AFP, and will help early diagnosis of HCC.

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