胆道梗阻：孤立性导管内转移性HCC引起的胆道梗阻。

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-07-17 eCollection Date: 2025-07-01 DOI:10.14309/crj.0000000000001766

Shivani Desai, Katrina A McGinty, Andrew Canakis, Lee-Ching Zhu, Neil D Shah

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引用次数: 0

摘要

肝细胞癌（HCC）转移到胆道是非常罕见的。我们报告了一位丙型肝炎病毒（HCV）肝硬化和复发性HCC患者，该患者先前接受过局部治疗，他提出了Y-90栓塞，但发现有阻塞性黄疸。导管内活检证实在胆总管远端有孤立的转移性HCC导致梗阻。虽然罕见，但在局部治疗的肝细胞癌患者中出现梗阻性黄疸时应考虑胆管转移。据我们所知，这是首例未行肝部分切除术的患者转移到胆总管的HCC报告。

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Leave No "Stone" Unturned: Biliary Obstruction From Isolated Intraductal Metastatic HCC.

Hepatocellular carcinoma (HCC) metastases to the biliary tree are exceedingly rare. We present a patient with hepatitis C virus (HCV) cirrhosis and recurrent HCC treated previously by locoregional therapy, who presented for Y-90 embolization but was found to have obstructive jaundice. Intraductal biopsy confirmed isolated, metastatic HCC in the distal common bile duct leading to obstruction. Albeit rare, bile duct metastases should be considered in patients with HCC treated by locoregional therapy presenting with obstructive jaundice. To our knowledge, this is the first report of metastatic HCC to the common bile duct in a patient who has not undergone prior partial hepatectomy.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.