Diagnostic utility of digital cholangioscopy for dislodged bile duct tumor thrombus of hepatocellular carcinoma.

@article{Inoue2017DiagnosticUO,
  title={Diagnostic utility of digital cholangioscopy for dislodged bile duct tumor thrombus of hepatocellular carcinoma.},
  author={Tadahisa Inoue and Tomohiko Ohashi and Yukiomi Nakade and Yuji Kobayashi and Norimitsu Ishii and Kiyoaki Ito and Masashi Yoneda},
  journal={Endoscopy},
  year={2017},
  volume={49 S 01},
  pages={E33-E34}
}
Bile duct tumor thrombus (BDTT) of hepatocellular carcinoma (HCC) is rare, and making a differential diagnosis from bile duct cancer is often challenging [1]. We present a rare case of HCC with BDTT mimicking hilar bile duct cancer, which could be diagnosed by a new digital cholangioscopy system (SpyGlass DS; Boston Scientific Corp., Marlborough, Massachusetts, USA) [2]. A man in his 60s was admitted because of jaundice. His medical history was unremarkable. Liver enzyme and bilirubin levels… CONTINUE READING

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In the common hepatic duct stricture , a mold - like tissue fragment was seen within the bile duct lumen with regular bile duct wall ( ▶Video1 ) ; removal was attempted by using basket and balloon E - Videos .
In the common hepatic duct stricture , a mold - like tissue fragment was seen within the bile duct lumen with regular bile duct wall ( ▶Video1 ) ; removal was attempted by using basket and balloon E - Videos .
Bile duct tumor thrombus ( BDTT ) of hepatocellular carcinoma ( HCC ) is rare , and making a differential diagnosis from bile duct cancer is often challenging [ 1 ] .
In the common hepatic duct stricture , a mold - like tissue fragment was seen within the bile duct lumen with regular bile duct wall ( ▶Video1 ) ; removal was attempted by using basket and balloon E - Videos .
Bile duct tumor thrombus ( BDTT ) of hepatocellular carcinoma ( HCC ) is rare , and making a differential diagnosis from bile duct cancer is often challenging [ 1 ] .
In the common hepatic duct stricture , a mold - like tissue fragment was seen within the bile duct lumen with regular bile duct wall ( ▶Video1 ) ; removal was attempted by using basket and balloon E - Videos .
Bile duct structureIs primary anatomic site of diseaseBile duct carcinoma
Bile duct tumor thrombus ( BDTT ) of hepatocellular carcinoma ( HCC ) is rare , and making a differential diagnosis from bile duct cancer is often challenging [ 1 ] .
Bile duct tumor thrombus ( BDTT ) of hepatocellular carcinoma ( HCC ) is rare , and making a differential diagnosis from bile duct cancer is often challenging [ 1 ] .
Bile duct tumor thrombus ( BDTT ) of hepatocellular carcinoma ( HCC ) is rare , and making a differential diagnosis from bile duct cancer is often challenging [ 1 ] .
Bile duct structureIs associated anatomic site ofBile duct carcinoma
Bile duct tumor thrombus ( BDTT ) of hepatocellular carcinoma ( HCC ) is rare , and making a differential diagnosis from bile duct cancer is often challenging [ 1 ] .
Bile duct tumor thrombus ( BDTT ) of hepatocellular carcinoma ( HCC ) is rare , and making a differential diagnosis from bile duct cancer is often challenging [ 1 ] .
Bile duct tumor thrombus ( BDTT ) of hepatocellular carcinoma ( HCC ) is rare , and making a differential diagnosis from bile duct cancer is often challenging [ 1 ] .
Computed tomography revealed an intraductal tumor lesion from the right hepatic duct to the common hepatic duct , with intrahepatic bile duct dilatation ( ▶Fig . 1 ) .
Computed tomography revealed an intraductal tumor lesion from the right hepatic duct to the common hepatic duct , with intrahepatic bile duct dilatation ( ▶Fig . 1 ) .
Computed tomography revealed an intraductal tumor lesion from the right hepatic duct to the common hepatic duct , with intrahepatic bile duct dilatation ( ▶Fig . 1 ) .
Computed tomography revealed an intraductal tumor lesion from the right hepatic duct to the common hepatic duct , with intrahepatic bile duct dilatation ( ▶Fig . 1 ) .
Liver cirrhosis and liver cyst were also detected , without hepatic tumor .
Liver cirrhosis and liver cyst were also detected , without hepatic tumor .
Computed tomography revealed an intraductal tumor lesion from the right hepatic duct to the common hepatic duct , with intrahepatic bile duct dilatation ( ▶Fig . 1 ) .
Computed tomography revealed an intraductal tumor lesion from the right hepatic duct to the common hepatic duct , with intrahepatic bile duct dilatation ( ▶Fig . 1 ) .
Computed tomography revealed an intraductal tumor lesion from the right hepatic duct to the common hepatic duct , with intrahepatic bile duct dilatation ( ▶Fig . 1 ) .
Computed tomography revealed an intraductal tumor lesion from the right hepatic duct to the common hepatic duct , with intrahepatic bile duct dilatation ( ▶Fig . 1 ) .
Endoscopic retrograde cholangiography revealed that the stricture had reached the medial branch bifurcation in the left hepatic duct , and the right hepatic duct could not be detected because of severe stricture ( ▶Fig .
Endoscopic retrograde cholangiography revealed that the stricture had reached the medial branch bifurcation in the left hepatic duct , and the right hepatic duct could not be detected because of severe stricture ( ▶Fig .
Endoscopic retrograde cholangiography revealed that the stricture had reached the medial branch bifurcation in the left hepatic duct , and the right hepatic duct could not be detected because of severe stricture ( ▶Fig .
Endoscopic retrograde cholangiography revealed that the stricture had reached the medial branch bifurcation in the left hepatic duct , and the right hepatic duct could not be detected because of severe stricture ( ▶Fig .
Endoscopic retrograde cholangiography revealed that the stricture had reached the medial branch bifurcation in the left hepatic duct , and the right hepatic duct could not be detected because of severe stricture ( ▶Fig .
Endoscopic retrograde cholangiography revealed that the stricture had reached the medial branch bifurcation in the left hepatic duct , and the right hepatic duct could not be detected because of severe stricture ( ▶Fig .
Endoscopic retrograde cholangiography revealed that the stricture had reached the medial branch bifurcation in the left hepatic duct , and the right hepatic duct could not be detected because of severe stricture ( ▶Fig .
Endoscopic retrograde cholangiography revealed that the stricture had reached the medial branch bifurcation in the left hepatic duct , and the right hepatic duct could not be detected because of severe stricture ( ▶Fig .
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