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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

Corresponding email(s): 

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


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CAI Jian-ting, QIAN Ke-da, LU Wen-juan, YING Xin. EVALUATION OF ERCP IN THE DIAGNOSIS OF HEPATOCELLULAR CARCINOMA INVADING BILE DUCTS[J]. Journal of Zhejiang University Science A, 2001, 2(1): 104-106.

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journal="Journal of Zhejiang University Science A",
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A1 - CAI Jian-ting
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A1 - LU Wen-juan
A1 - YING Xin
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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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Reference

[1] Cai Jianting, Qian Keda, Lu Wenjuan, et al.,1993.An asymptomatic small hepatocellular carcinoma was diagnosed by endoscopic retrograde cholangiopancreatography (ERCP).Chin J Oncol.15 (2): 117(in Chinese, with English abstract).

[2] Han Benli, 1991.Clinical diagnosis of obstructive jaundice in hepatocellular carcinoma invading bile ducts.Clin in Gen Surg.6(1):46-48(in Chinese, with English abstract).

[3] Lee, N.W., Wong, K.P., Siu, K.F., et al., 1984.Cholangiography in hepatocellular carcinoma with obstructive jaundice.Clin Radiol.35(2): 119-23.

[4] Rohrmann, C.A.Jr, Ansel, H.J., Ayoola, E.A., et al., 1977.Endoscopic retrograde intrahepatic cholangiogram: radiographic findings in intrahepatic diseases.AJR Am J Roentgenol.128(1),45-52.

[5] Sonnenberg, E.V., Ferrucci, J.T., 1979.Bile duct obstruction in hepatocellular carcinoma (hepatoma) clinical and cholangiography characteristics.Report of 6 cases and review of the literature.Radiology.130: 7.

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