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Obstructive jaundice caused by hepatocellular carcinoma: detection by endoscopic sonography
1Department of Internal Medicine, College of Medicine, National Taiwan University, 1, Jen-Ai Road, Taipei, Taiwan.
Journal of Clinical Ultrasound : JCU
|June 26, 2001
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.