Ectopic hepatocellular carcinoma arising in the bile duct

J Hepatobiliary Pancreat Surg. 2005;12(3):266-8. doi: 10.1007/s00534-004-0963-y.

Abstract

We report a case of ectopic hepatocellular carcinoma arising in the bile duct. A 72-year-old woman was transferred to our hospital with fever, abdominal pain, and jaundice. Contrast-enhanced computed tomography revealed a round mass, measuring 25 mm in diameter, in the bile duct. The mass was causing obstructive jaundice. Endoscopic retrograde cholangiography showed a 27 mm x 21-mm round defect in the superior bile duct. These findings led to a diagnosis of bile duct tumor, and the patient underwent extrahepatic bile duct resection and biliary reconstruction. Gross examination of the tumor showed a fibrous capsule and a stalk arising from the bile duct mucosa. The tumor was diagnosed histopathologically as well-differentiated hepatocellular carcinoma arising in the bile duct.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anastomosis, Roux-en-Y
  • Bile Duct Neoplasms / complications
  • Bile Duct Neoplasms / pathology*
  • Bile Duct Neoplasms / surgery
  • Biliary Tract Surgical Procedures / methods
  • Carcinoma, Hepatocellular / complications
  • Carcinoma, Hepatocellular / pathology*
  • Carcinoma, Hepatocellular / surgery
  • Choristoma*
  • Female
  • Humans
  • Jaundice, Obstructive / etiology
  • Jaundice, Obstructive / surgery
  • Liver*