A Resected Case of Icteric Type Hepatoma with Tumor Thrombi in Common Bile Duct
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- OSADA Shinji
- Surgical Oncology, Gifu University School of Medicine
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- TOMITA Hiroyuki
- Surgical Oncology, Gifu University School of Medicine
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- IMAI Hisahi
- Surgical Oncology, Gifu University School of Medicine
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- OKUMURA Naoki
- Surgical Oncology, Gifu University School of Medicine
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- TOKUYAMA Yasuharu
- Surgical Oncology, Gifu University School of Medicine
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- SAKASHITA Fumio
- Surgical Oncology, Gifu University School of Medicine
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- NONAKA Kenichi
- Surgical Oncology, Gifu University School of Medicine
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- SUGIYAMA Yasuyuki
- Surgical Oncology, Gifu University School of Medicine
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Abstract
71-year-old male was admitted to the department of gastroenterology of our hospital to treat for jaundice at July 10, 2002. His serum total bilirubin was 18.3 mg/dl and Alpha-fetoprotein was 50.2 ng/ml. Then, percutaneous tanshepatic biliary drainage (PTBD) was performed through the left lateral and the right anterior segmental bile. Computed tomography with enhancement showed the tumors in the medial segment and caudate lobe with tumor thrombi extending to the common bile duct. Left hemihepatectomy and extrahepatic bile duct resection were performed. As a gross finding of the removed specimen, the tumor thrombi extended through the left bile duct into the common bile duct from medial segmental tumor without necrosis and hemorrhage. Histological examination showed the tumor to be moderately differentiated hepatocellular carcinoma. The hepatic arterial, portal and hepatic venous branches were not involved by the tumor.
Journal
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- Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
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Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) 31 (2), 240-244, 2006
Japanese College of Surgeons
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Details 詳細情報について
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- CRID
- 1390001204348057088
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- NII Article ID
- 130006790351
- 10018201587
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- NII Book ID
- AN00002502
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- ISSN
- 18829112
- 03857883
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- HANDLE
- 20.500.12099/29998
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- Text Lang
- en
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- Data Source
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- JaLC
- IRDB
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed