Skip Navigation

Japanese Journal of Clinical Oncology 2006 36(9):608; doi:10.1093/jjco/hyl104
This Article
Right arrow Extract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Request Permissions
Google Scholar
Right arrow Articles by Nara, S.
Right arrow Articles by Sakamoto, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nara, S.
Right arrow Articles by Sakamoto, Y.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


© 2006 Foundation for Promotion of Cancer Research

Image of the Month

A Case of Intrahepatic Cholangiocarcinoma Involving the Proper Hepatic Artery

Satoshi Nara and Yoshihiro Sakamoto

Hepatobiliary and Pancreatic Surgery Division National Cancer Center HospitalTokyo, Japan

A 62-year-old male with hepatitis C viral infection, underwent an annual check up in a previous hospital. Computed tomography (CT) revealed a nodule, 3 cm in diameter, in the lateral segment of the liver, which was diagnosed as a hepatocellular carcinoma. He underwent radiofrequency ablation therapy (RFA) twice; however, the tumor developed local recurrence one year after the last RFA. He was referred to us for the treatment of the local recurrence of the tumor. Enhanced CT scan showed an irregularly shaped nodule, 4 cm in diameter, located in segments III and IV of the liver, accompanied with dilatation of the intrahepatic bile duct (Fig. 1, arrow head). The low-density area of the tumor spread along the left hepatic artery to the proper hepatic artery (Fig. 1, black arrow), suggesting an intrahepatic cholangiocarcinoma with perineural extension along the hepatic artery.


Figure 1
View larger version (147K):
[in this window]
[in a new window]
  		Figure 1.
 
Extended left hemihepatectomy combined with resection of the extrahepatic bile duct was performed. The proper and left hepatic arteries were removed en bloc with the specimen. The gastroduodenal artery (Fig. 1, white arrow), the right hepatic artery and the common hepatic artery were divided to secure adequate surgical margins. The right hepatic artery (Fig. 2, white arrowhead) was anastomosed to the right gastroepiploic artery (Fig. 2, black arrowhead) under microscope. The postoperative course was uneventful. The pathological examination revealed moderately differentiated intrahepatic cholangiocarcinoma with massive perineural invasion. The surgical margin was negative.


Figure 2
View larger version (143K):
[in this window]
[in a new window]
  		Figure 2.
 

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?



This Article
Right arrow Extract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Request Permissions
Google Scholar
Right arrow Articles by Nara, S.
Right arrow Articles by Sakamoto, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nara, S.
Right arrow Articles by Sakamoto, Y.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?