Hepatoma and obstructive jaundice

Abstract

Summary Three patients with hepatoma are described whose presenting feature was obstructive jaundice. Recognition of this rare manifestation of hepatoma can establish the diagnosis before surgery.

Mechanical and Anatomical Causes of Bile Duct

“…In some HCCs with bile duct invasion, a fragment or fragments of the intracavitary growth may detach and be situated (frequently together with clotted blood) as a floating mass or tumor debris in the lumen (the "tumor thrombus"), and subsequently be dislocated to other places of the biliary tract (e.g., the ampullary region), analogous to an embolus ("tumor embolus"). Dickinson and Santulli (1962), Gerson und Schinella (1969), Brand et al (1976), Kawakami et al (1977), Afroudakis et al (1978), Cleland and Adjukiewicz (1980), Jurco and Kim (1980), Joehl andAbt (1984), Roslyn et al (1984), Oshima et al (1986), Sarma et al (1987), Komatsu et al (1989), Kiev et al (1990), Lau et al (1990), Schutze et al (1990), Lai et al (1992), Kirk et al (1994), Wang et al (1995), Sastry et al (1996), Nakajima et al (1997), Satoh et al (2000), Shiomi et al (2001), Tamada et al (2001),Tanizaki et al (2001), Tseng et al (2001, Nishio et al (2002), Murakami et al (2003), Peng et al (2004), Hanaoka et al (2006), Gabata et al (2007, Kobayashi et al (2008), Long et al (2010, andWang et al (2010).…”

An Icteric Type Hepatocellular Carcinoma with No Detectable Tumor in the Liver: Report of a Case

“…[1][2][3][4][5][6] These types have been classified as icteric type HCC by Lin et al 2 Since Mallory et al 1 first described a case of HCC accompanied with obstructive jaundice secondary to biliary hemorrhage from a tumor invading the cystic duct, a number of similar reports have been found in the literature. 3,[7][8][9][10] In most of these cases, the main tumors were detected in the liver. We herein report a case of a successful resection of an icteric type HCC without a detectable original tumor in the liver.…”