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Obstructive jaundice caused by hepatocellular carcinoma: detection by endoscopic sonography.
Authors:Y C Lee  H P Wang  S P Huang  Y T Chang  C T Wu  C S Yang  M S Wu  J T Lin
Affiliation:Department of Internal Medicine, College of Medicine, National Taiwan University, 1, Jen-Ai Road, Taipei, Taiwan.
Abstract:
Tumor thrombus in the extrahepatic biliary tree is a rare mechanism of obstructive jaundice. We present a patient with a minute hepatocellular carcinoma in the caudate lobe that invaded the common hepatic duct and caused biliary obstruction. Endoscopic sonography showed a tumor thrombus with central echogenicity and a "nodule-in-nodule" pattern and suggested the correct diagnosis.
Keywords:hepatocellular carcinoma  common bile duct  biliary ducts  endoscopic ultrasonography
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