Clear cell hepatocellular carcinoma diagnosed by bile duct brushing cytology

2015 ◽  
Vol 44 (2) ◽  
pp. 147-151 ◽  
Author(s):  
Li-Ying Fu ◽  
Kisha A. Mitchell ◽  
Guoiping Cai
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Clear Cell ◽  
Brushing Cytology

scholarly journals Extraluminal recanalization for postoperative biliary obstruction using transseptal needle

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hiroki Horinouchi ◽  
Eisuke Ueshima ◽  
Keitaro Sofue ◽  
Shohei Komatsu ◽  
Takuya Okada ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Biliary Obstruction ◽  
Hepatic Duct ◽  
Drainage Tube ◽  
Biliary Strictures ◽  
Hepatic Bile ◽  
Hepatic Bile Duct ◽  
Benign Biliary Strictures ◽  
The Right

Abstract Background Postoperative biliary strictures are commonly related to accidental bile duct injuries or occur at the site of biliary anastomosis. The first-line treatment for benign biliary strictures is endoscopic therapy, which is less invasive and repeatable. However, recanalization for biliary complete obstruction is technically challenging to treat. The present report describes a successful case of treatment by extraluminal recanalization for postoperative biliary obstruction using a transseptal needle. Case presentation A 66-year-old woman had undergone caudal lobectomy for the treatment of hepatocellular carcinoma. The posterior segmental branch of the bile duct was injured and repaired intraoperatively. Three months after the surgery, the patient had developed biliary leakage from the right hepatic bile duct, resulting in complete biliary obstruction. Since intraluminal recanalization with conventional endoscopic and percutaneous approaches with a guidewire failed, extraluminal recanalization using a transseptal needle with an internal lumen via percutaneous approach was performed under fluoroscopic guidance. The left lateral inferior segmental duct was punctured, and an 8-F transseptal sheath was introduced into the ostium of right hepatic duct. A transseptal needle was advanced, and the right hepatic duct was punctured by targeting an inflated balloon that was placed at the end of the obstructed right hepatic bile duct. After confirming successful puncture using contrast agent injected through the internal lumen of the needle, a 0.014-in. guidewire was advanced into the right hepatic duct. Finally, an 8.5-F internal–external biliary drainage tube was successfully placed without complications. One month after the procedure, the drainage tube was replaced with a 10.2-F drainage tube to dilate the created tract. Subsequent endoscopic internalization was performed 5 months after the procedure. At the 1-year follow-up examination, there was no sign of biliary obstruction and recurrence of hepatocellular carcinoma. Conclusions Recanalization using a transseptal needle can be an alternative technique for rigid biliary obstruction when conventional techniques fail.

scholarly journals Obstructive Jaundice Following Transarterial Chemoembolization for Hepatocellular Carcinoma with Bile Duct Invasion

2021 ◽  
Vol 5 (02) ◽  
pp. 127-130
Author(s):  
Kazuki Matsushita ◽  
Ken Kageyama ◽  
Natsuhiko Kameda ◽  
Yurina Koizumi ◽  
Akira Yamamoto
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Obstructive Jaundice ◽  
Transarterial Chemoembolization ◽  
Tumor Invasion ◽  
Endoscopic Sphincterotomy ◽  
Biliary Obstruction ◽  
Intraductal Tumor ◽  
Bile Duct Invasion ◽  
The Common

AbstractHepatocellular carcinoma (HCC) with bile duct invasion is considered rare. A case in which a fragment of intraductal tumor dropped into the common bile duct after transarterial chemoembolization (TACE) and caused abdominal pain, and obstructive jaundice secondary to biliary obstruction is presented. This case was successfully managed by emergent endoscopic sphincterotomy. Physicians should recognize one of the complications due to TACE for HCC with intraductal tumor invasion.

Biliary endoprosthesis in bile duct obstruction secondary to hepatocellular carcinoma

1993 ◽  
Vol 18 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Yoshitsugu Kubota ◽  
Toshihito Seki ◽  
Kohji Kunieda ◽  
Yoshitsugu Nakahashi ◽  
Kazuhiro Tani ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Bile Duct Obstruction ◽  
Duct Obstruction ◽  
Biliary Endoprosthesis

Hepatocellular carcinoma in association with bile duct hamartomas: report on 2 cases and review of the literature

2008 ◽  
Vol 12 (3) ◽  
pp. 208-211 ◽  
Author(s):  
Thais Heinke ◽  
Lucila Bohme Pellacani ◽  
Henrique de Oliveira Costa ◽  
Rogério Aoki Fuziy ◽  
Marcello Franco
Keyword(s):  
Hepatocellular Carcinoma ◽  
Bile Duct ◽  
Review Of The Literature

scholarly journals Clear cell hepatocellular carcinoma: Back to the basics for diagnosis

2015 ◽  
Vol 11 (3) ◽  
pp. 656 ◽  
Author(s):  
Meeta Singh ◽  
Puja Sakhuja ◽  
PramodK Mishra ◽  
R Rajesh ◽  
AshokKumar Sharma ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Clear Cell
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