• Vol. 29 No. 1, 101–104
  • 15 January 2000

Early Hepatocellular Carcinoma Presenting with Biliary Ductal Invasion—A Case Report

365



365 Views
120 Downloads

Download PDF

ABSTRACT

Early and small hepatocellular carcinoma (HCC) rarely presents with biliary ductal invasion. We present a case of early HCC presenting with biliary invasion, in the absence of a mass on computed tomographic scanning. The patient, a hepatitis B carrier, was initially diagnosed to have “liver fluke infection” after a “leaf-like structure” was found within the right hepatic duct on endoscopic retrograde cholangiopancreatography (ERCP). The specimen was retrieved with a Dormia basket. Histology revealed HCC. This report highlights an unusual case of early and small HCC presenting with biliary ductal invasion. A high index of suspicion has to be entertained in the background of hepatitis B regardless of the atypicity of presentation.


Hepatocellular carcinoma (HCC) is a common malignant tumour worldwide. The local incidence of HCC is 40 per 100,000 in males and 20 per 100,000 in females.

This article is available only as a PDF. Please click on “Download PDF” on top to view the full article.